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1144690272
ALISA THIBODEAUX
BOSSIER CITY, LA
NPI
1144690272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-01
Last Update Date
2022-11-14
Business Address
ALISA THIBODEAUX
1808 LEE ST
BOSSIER CITY, LA 71112-2024
Phone number: 318-934-2278
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Mailing Address
ALISA THIBODEAUX
1808 LEE ST
BOSSIER CITY, LA 71112-2024
Phone number: 318-934-2278
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