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1043969520
DALLAS HUNTER LEITH
BASTROP, LA
NPI
1043969520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
DALLAS HUNTER LEITH Bachelors
EAST JEFFERSON AVENUE
BASTROP, LA 71220
Phone number: 318-536-9084
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Mailing Address
DALLAS HUNTER LEITH Bachelors
9261 HIGHWAY 80
SIMSBORO, LA 71275-3005
Phone number: 318-536-9084
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