NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1457789802
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
3505 5TH AVE
LAKE CHARLES
LA
706072156
1104966696
HEBERT
PATRICK
PO BOX 1476 , 507 PERRY LANE
IOWA
LA
706471476
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