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1407354798
CHRISTOPHER DEMARKCO MILLAGE
BASTROP, LA
NPI
1407354798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
CHRISTOPHER DEMARKCO MILLAGE
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
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Mailing Address
CHRISTOPHER DEMARKCO MILLAGE
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
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