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1104332196
SILAS JAMES THOMAS
BATON ROUGE, LA
NPI
1104332196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
(Licence: LA 2203783163)
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-12-28
Last Update Date
2018-09-05
Business Address
Mr. SILAS JAMES THOMAS
4348 S JEFFREY DR STE 102
BATON ROUGE, LA 70816
Phone number: 225-361-0219
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Mailing Address
Mr. SILAS JAMES THOMAS
9420 LINDALE AVE STE A
BATON ROUGE, LA 70815-4161
Phone number: 225-442-3540
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