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1114449782
PAYTEN JASON
CHALMETTE, LA
NPI
1114449782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-07-14
Last Update Date
2022-07-21
Business Address
PAYTEN JASON
2626 CHARLES DR
CHALMETTE, LA 70043
Phone number: 504-278-4006
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Mailing Address
PAYTEN JASON
2626 CHARLES DR
CHALMETTE, LA 70043-3779
Phone number: 504-278-4006
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