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1144692955
SELENA GAYLOR
PINEVILLE, LA
NPI
1144692955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-10-21
Last Update Date
2018-05-24
Business Address
SELENA GAYLOR
8127 RIDGEMONT DR
PINEVILLE, LA 71360
Phone number: 318-955-2133
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Mailing Address
SELENA GAYLOR
8127 RIDGEMONT DR
PINEVILLE, LA 71360-2647
Phone number: 318-955-2133
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