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1669649695
STEPHANIE ANN COGBURN
LAFAYETTE, LA
NPI
1669649695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: LA OTT.Z11937)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
Miss STEPHANIE ANN COGBURN LOTR
4620 W CONGRESS ST APT 50
LAFAYETTE, LA 70506-6632
Phone number: 337-216-9354
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Mailing Address
Miss STEPHANIE ANN COGBURN LOTR
4620 W CONGRESS ST APT 50
LAFAYETTE, LA 70506-6632
Phone number: 337-216-9354
Copy
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