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1104291103
GILBERT GEORGE
THIBODAUX, LA
NPI
1104291103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-02
Last Update Date
2019-04-26
Business Address
GILBERT GEORGE BA
142 LAURA DR
THIBODAUX, LA 70301-2988
Phone number: 985-446-4114
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Mailing Address
GILBERT GEORGE BA
142 LAURA DR
THIBODAUX, LA 70301-2988
Phone number: 985-446-4114
Copy
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