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1710553276
CREIGHTON J GUILLORY
LAKE CHARLES, LA
NPI
1710553276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2021-06-03
Last Update Date
2021-06-07
Business Address
CREIGHTON J GUILLORY
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
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Mailing Address
CREIGHTON J GUILLORY
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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