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1699920181
JOY CHARMAINE CLEMENT DERISE
LAKE CHARLES, LA
NPI
1699920181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA LA0048)
Enumeration Date
2008-11-25
Last Update Date
2008-11-25
Business Address
Mrs. JOY CHARMAINE CLEMENT DERISE massage therapist
1737 W SALE RD SUITE 103
LAKE CHARLES, LA 70605-2579
Phone number: 337-480-1100
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Mailing Address
Mrs. JOY CHARMAINE CLEMENT DERISE massage therapist
1737 W SALE RD SUITE 103
LAKE CHARLES, LA 70605-2579
Phone number: 337-480-1100
Copy
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