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1104337849
COURTNEY DIANE BAILEY
BATON ROUGE, LA
NPI
1104337849
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Former Name
COURTNEY DIANE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-21
Last Update Date
2017-10-21
Business Address
COURTNEY DIANE BAILEY
12628 HOOPER RD STE C
BATON ROUGE, LA 70818-3527
Phone number: 225-953-8170
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Mailing Address
COURTNEY DIANE BAILEY
12628 HOOPER RD STE C
BATON ROUGE, LA 70818-3527
Phone number: 225-953-8170
Copy
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