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1770326001
KEYLON HARMON
LAKE CHARLES, LA
NPI
1770326001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 11052533)
Enumeration Date
2024-06-14
Last Update Date
2024-07-18
Business Address
KEYLON HARMON
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
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Mailing Address
KEYLON HARMON
334 HARMON LOOP
KINDER, LA 70648-5915
Phone number: 337-322-1644
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