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1053925891
TIESHA SHERIDAN
LAFAYETTE, LA
NPI
1053925891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-31
Last Update Date
2020-08-31
Business Address
TIESHA SHERIDAN
201 PAVILION ST
LAFAYETTE, LA 70507-2691
Phone number: 318-512-5124
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Mailing Address
TIESHA SHERIDAN
201 PAVILION ST
LAFAYETTE, LA 70507-2691
Phone number: 318-512-5124
Copy
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