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1003491978
LATONIA MYLES TUCKER
LAFAYETTE, LA
NPI
1003491978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-12
Last Update Date
2021-03-12
Business Address
LATONIA MYLES TUCKER
200 ENERGY PKWY
LAFAYETTE, LA 70508-3816
Phone number: 337-437-4014
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Mailing Address
LATONIA MYLES TUCKER
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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