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1518744325
ALICIA FAE WHITE
SAINT FRANCISVILLE, LA
NPI
1518744325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
202K00000X
(Licence: LA Z8C2P4Z4)
Enumeration Date
2023-09-13
Last Update Date
2023-10-04
Business Address
ALICIA FAE WHITE CPT
5354 BLACKMORE RD
SAINT FRANCISVILLE, LA 70775-4201
Phone number: 225-678-0861
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Mailing Address
ALICIA FAE WHITE CPT
PO BOX 194
SAINT FRANCISVILLE, LA 70775-0194
Phone number: 225-678-0861
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