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1639557606
JACQUELINE BOURASSA
LAKE CHARLES, LA
NPI
1639557606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA plc6140)
Enumeration Date
2015-05-11
Last Update Date
2015-05-11
Business Address
-- JACQUELINE BOURASSA
2802 HODGES ST
LAKE CHARLES, LA 70601-7368
Phone number: 337-419-1873
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Mailing Address
-- JACQUELINE BOURASSA
2802 HODGES ST
LAKE CHARLES, LA 70601-7368
Phone number: 337-419-1873
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