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1073982740
PHYLLIS DAVIS
MONROE, LA
NPI
1073982740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-09-23
Last Update Date
2018-09-13
Business Address
Mrs. PHYLLIS DAVIS
212 DAYWOOD DR
MONROE, LA 71203-9203
Phone number: 318-791-3838
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Mailing Address
Mrs. PHYLLIS DAVIS
2301 RACINE DR
MONROE, LA 71201-2950
Phone number: 318-791-3838
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