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1710596283
DAKOTA LOOSEMORE
LAKE CHARLES, LA
NPI
1710596283
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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
2020-07-30
Last Update Date
2020-07-30
Business Address
DAKOTA LOOSEMORE
800 EAST MCNEESE STREET
LAKE CHARLES, LA 70607
Phone number: 337-475-5279
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Mailing Address
DAKOTA LOOSEMORE
800 EAST MCNEESE STREET
LAKE CHARLES, LA 70607
Phone number:
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