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1699458992
PRINCESS CHARLES
LAFAYETTE, LA
NPI
1699458992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
Dr. PRINCESS CHARLES MST
407 TORONTO DR
LAFAYETTE, LA 70507-4111
Phone number: 832-954-3329
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Mailing Address
Dr. PRINCESS CHARLES MST
407 TORONTO DR
LAFAYETTE, LA 70507-4111
Phone number: 832-954-3329
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