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1265668974
TRACE LANIER LYNN
SULPHUR, LA
NPI
1265668974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA LA5970)
Enumeration Date
2009-06-09
Last Update Date
2015-11-11
Business Address
-- TRACE LANIER LYNN D.D.S.
3107 MAPLEWOOD DR
SULPHUR, LA 70663-6201
Phone number: 337-625-9911
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Mailing Address
-- TRACE LANIER LYNN D.D.S.
3107 MAPLEWOOD DR
SULPHUR, LA 70663-6201
Phone number: 337-625-9911
Copy
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