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1417505090
JENNIFER KAY BROCATO
LAKE CHARLES, LA
NPI
1417505090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
JENNIFER KAY BROCATO
2761 CROWN LN
LAKE CHARLES, LA 70605-8135
Phone number: 337-274-9563
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Mailing Address
JENNIFER KAY BROCATO
2761 CROWN LN
LAKE CHARLES, LA 70605-8135
Phone number: 337-274-9563
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