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1275250904
SHELBY MOUTON
LAFAYETTE, LA
NPI
1275250904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
SHELBY MOUTON
208 JANE DR
LAFAYETTE, LA 70508-3300
Phone number: 337-412-0623
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Mailing Address
SHELBY MOUTON
208 JANE DR
LAFAYETTE, LA 70508-3300
Phone number: 337-412-0623
Copy
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