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1992101240
CLINT DUPRE
LAKE CHARLES, LA
NPI
1992101240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 260970)
Enumeration Date
2014-11-14
Last Update Date
2014-11-14
Business Address
-- CLINT DUPRE LPN
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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Mailing Address
-- CLINT DUPRE LPN
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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