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1699514745
JACOB GUS COCHRAN
LAKE CHARLES, LA
NPI
1699514745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-20
Last Update Date
2024-05-20
Business Address
JACOB GUS COCHRAN
1434 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA 70611-5458
Phone number: 337-855-7748
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Mailing Address
JACOB GUS COCHRAN
1434 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA 70611-5458
Phone number:
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