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1598231011
SANTAGO CLARK
ADDIS, LA
NPI
1598231011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
Mr. SANTAGO CLARK
4607 TRIAL DR.
ADDIS, LA 70710
Phone number: 225-907-6659
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Mailing Address
Mr. SANTAGO CLARK
4607 TRIAL DR.
ADDIS, LA 70710
Phone number: 225-907-6659
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