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1265769798
MARIEL J RACCA
LAKE CHARLES, LA
NPI
1265769798
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Professional Name
MARIEL J RACCA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA F1009130)
Enumeration Date
2009-11-04
Last Update Date
2013-04-02
Business Address
-- MARIEL J RACCA NP-C
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-493-5115
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Mailing Address
-- MARIEL J RACCA NP-C
2110 STANTON ST
LAKE CHARLES, LA 70601-7212
Phone number: 337-433-8113
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