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1568560217
SHAINE EMANUEL RIDER
LAKE CHARLES, LA
NPI
1568560217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1216)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. SHAINE EMANUEL RIDER D.C.
4451 NELSON RD
LAKE CHARLES, LA 70605-4136
Phone number: 337-480-0027
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Mailing Address
Dr. SHAINE EMANUEL RIDER D.C.
4451 NELSON RD
LAKE CHARLES, LA 70605-4136
Phone number: 337-480-0027
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