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1780319632
DIANA P BETANCOURT
LAKE CHARLES, LA
NPI
1780319632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX 188425)
Enumeration Date
2022-07-22
Last Update Date
2022-07-22
Business Address
DIANA P BETANCOURT CSFA
609 HODGES ST
LAKE CHARLES, LA 70601-4212
Phone number: 407-461-6953
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Mailing Address
DIANA P BETANCOURT CSFA
609 HODGES ST
LAKE CHARLES, LA 70601-4212
Phone number: 407-461-6953
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