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1528565942
CHARLOTTE MARTIA BORDELON
LAKE CHARLES, LA
NPI
1528565942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 006828053)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
Mrs. CHARLOTTE MARTIA BORDELON
1516 CLOVER DR
LAKE CHARLES, LA 70607-4710
Phone number: 337-215-2613
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Mailing Address
Mrs. CHARLOTTE MARTIA BORDELON
1516 CLOVER DR
LAKE CHARLES, LA 70607-4710
Phone number: 337-215-2613
Copy
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