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1902163157
ULTIMATE PERFORMANCE SPORTS AND REHAB LLC
LAKE CHARLES, LA
NPI
1902163157
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Entity Type
Organization
Authorized Contact
JEREMY ROSS WARD
Owner
337-523-0776
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2012-04-12
Last Update Date
2012-09-13
Business Address
ULTIMATE PERFORMANCE SPORTS AND REHAB LLC
313 ALAMO ST SUITE B
LAKE CHARLES, LA 70601-8528
Phone number: 337-523-0776
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Mailing Address
ULTIMATE PERFORMANCE SPORTS AND REHAB LLC
PO BOX 4610
LAKE CHARLES, LA 70606-4610
Phone number: 337-312-1446
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