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1649052119
CASEY L ILES
DERIDDER, LA
NPI
1649052119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: LA 339306)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
Mrs. CASEY L ILES CLC
3922 HIGHWAY 26
DERIDDER, LA 70634-7256
Phone number: 337-375-6482
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Mailing Address
Mrs. CASEY L ILES CLC
3922 HIGHWAY 26
DERIDDER, LA 70634-7256
Phone number: 337-375-6482
Copy