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1144051962
LATISE SHEVONNE ESTRIDGE
DAYTON, OH
NPI
1144051962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-13
Last Update Date
2024-08-13
Business Address
LATISE SHEVONNE ESTRIDGE
7271 N MAIN ST
DAYTON, OH 45415-2567
Phone number: 937-203-4928
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Mailing Address
LATISE SHEVONNE ESTRIDGE
1828 WESLEYAN RD
DAYTON, OH 45406-3945
Phone number: 937-581-5279
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