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1891268165
DEREK B HEBERT
LAKE CHARLES, LA
NPI
1891268165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-09
Last Update Date
2019-01-09
Business Address
DEREK B HEBERT
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
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Mailing Address
DEREK B HEBERT
2373 REGAN RD
IOTA, LA 70543-4926
Phone number: 337-329-3538
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