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1295183325
DANIEL LEE RICHARD
LAKE CHARLES, LA
NPI
1295183325
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 6431933)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
Mr. DANIEL LEE RICHARD
610 N CHERRY ST
LAKE CHARLES, LA 70601-2671
Phone number: 337-304-5305
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Mailing Address
Mr. DANIEL LEE RICHARD
1525 12TH ST
LAKE CHARLES, LA 70601-6471
Phone number: 337-304-5305
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