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HOUMA, LA
NPI1699016790
Entity TypeOrganization
Authorized ContactGREG GLEASON
Director
985-868-2620
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2013-03-14
Last Update Date2013-03-14
Business Address
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5593 HIGHWAY 311
HOUMA, LA 70360-2866
Phone number: 985-868-2620
Mailing Address
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5593 HIGHWAY 311
HOUMA, LA 70360-2866
Phone number: 985-868-2620
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