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1104273978
RODERICK HANNIBAL
MONROE, LA
NPI
1104273978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-20
Last Update Date
2024-09-13
Business Address
RODERICK HANNIBAL
1162 OLIVER RD STE 4
MONROE, LA 71201-5757
Phone number: 318-340-1535
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Mailing Address
RODERICK HANNIBAL
1162 OLIVER RD STE 4
MONROE, LA 71201-5757
Phone number: 318-340-1535
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