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1700151263
SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC
LAKE CHARLES, LA
NPI
1700151263
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Entity Type
Organization
Authorized Contact
RANDY DARTEZ
Executive Director
337-477-7194
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: LA 1156)
Enumeration Date
2012-03-16
Last Update Date
2023-09-06
Business Address
SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC
4320 LAKE ST
LAKE CHARLES, LA 70605-4310
Phone number: 337-477-7194
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Mailing Address
SOUTHWEST LOUISIANA INDEPENDENCE CENTER, INC
4320 LAKE ST
LAKE CHARLES, LA 70605-4310
Phone number: 337-477-7194
Copy
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