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1720062177
SCOTT P DEROUEN
LAKE CHARLES, LA
NPI
1720062177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1050)
Enumeration Date
2005-11-30
Last Update Date
2010-04-14
Business Address
-- SCOTT P DEROUEN DC
1210 E MCNEESE ST
LAKE CHARLES, LA 70607-4756
Phone number: 337-502-5303
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Mailing Address
-- SCOTT P DEROUEN DC
1210 E MCNEESE ST
LAKE CHARLES, LA 70607-4756
Phone number: 337-502-5303
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