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1952521296
JENNIFER E AUTHEMENT
LAKE CHARLES, LA
NPI
1952521296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: LA 1924)
Enumeration Date
2007-04-27
Last Update Date
2007-07-08
Business Address
-- JENNIFER E AUTHEMENT RD
524 S RYAN ST
LAKE CHARLES, LA 70601-5725
Phone number: 337-431-7825
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Mailing Address
-- JENNIFER E AUTHEMENT RD
3850 BROOKEFLOWER CIRCLE N
LAKE CHARLES, LA 70605
Phone number: 337-474-7244
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