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1659685196
CASSIE DENISE CHAMPAGNE
LAKE CHARLES, LA
NPI
1659685196
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Former Name
CASSIE DENISE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: LA 4672-01)
Enumeration Date
2010-07-26
Last Update Date
2016-05-10
Business Address
Mrs. CASSIE DENISE CHAMPAGNE LMT
601 DR. MICHAEL DEBAKEY DR.
LAKE CHARLES, LA 70601-5726
Phone number: 337-304-4820
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Mailing Address
Mrs. CASSIE DENISE CHAMPAGNE LMT
1429 SOUTHERN OAKS DR.
SULPHUR, LA 70665-7946
Phone number: 337-304-4820
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