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1346744042
MARY NECOLOA FONTENOT
LAKE CHARLES, LA
NPI
1346744042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171WV0202X Contractor, Vehicle Modifications
(Licence: LA 008907424)
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
MARY NECOLOA FONTENOT
1324 ROSETTA ST
LAKE CHARLES, LA 70607-1932
Phone number: 337-912-8617
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Mailing Address
MARY NECOLOA FONTENOT
1324 ROSETTA ST
LAKE CHARLES, LA 70607-1932
Phone number: 337-912-8617
Copy
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