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1821706805
LAKE CHARLES SENIOR CARE CLINIC LLC
LAKE CHARLES, LA
NPI
1821706805
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Entity Type
Organization
Authorized Contact
JENNY BONO
Manager
337-532-5799
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
LAKE CHARLES SENIOR CARE CLINIC LLC
1909 SOUTHWOOD DR
LAKE CHARLES, LA 70605-4132
Phone number: 337-532-5799
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Mailing Address
LAKE CHARLES SENIOR CARE CLINIC LLC
1909 SOUTHWOOD DR
LAKE CHARLES, LA 70605-4132
Phone number:
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