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1326284563
CLINT JASON DESOTO
POLLOCK, LA
NPI
1326284563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: LA 89464)
Enumeration Date
2008-12-17
Last Update Date
2008-12-17
Business Address
-- CLINT JASON DESOTO
461 AIRBASE RD
POLLOCK, LA 71467-3549
Phone number: 318-715-1792
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Mailing Address
-- CLINT JASON DESOTO
461 AIRBASE RD
POLLOCK, LA 71467-3549
Phone number: 318-715-1792
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