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1003465998
JERRICA M KING
LAKE CHARLES, LA
NPI
1003465998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-04
Last Update Date
2019-09-04
Business Address
JERRICA M KING
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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Mailing Address
JERRICA M KING
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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