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1104582774
LANECIA CLINTON
RUSTON, LA
NPI
1104582774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
LANECIA CLINTON
2000 ILLINOIS AVE APT 506
RUSTON, LA 71270-3021
Phone number: 318-245-4922
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Mailing Address
LANECIA CLINTON
2000 ILLINOIS AVE APT 506
RUSTON, LA 71270-3021
Phone number: 318-245-4922
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