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1851588966
RUSTY JOHN DODD
LAKE CHARLES, LA
NPI
1851588966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2007-10-02
Last Update Date
2007-10-02
Business Address
Mr. RUSTY JOHN DODD
7704 MCCINDY RD
LAKE CHARLES, LA 70607-0734
Phone number: 337-438-1504
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Mailing Address
Mr. RUSTY JOHN DODD
7704 MCCINDY RD
LAKE CHARLES, LA 70607-0734
Phone number: 337-438-1504
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