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1154987808
LATASA NICOLE BENNETT
HOUSTON, TX
NPI
1154987808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
LATASA NICOLE BENNETT
11806 MURR WAY
HOUSTON, TX 77048-2528
Phone number: 281-606-9823
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Mailing Address
LATASA NICOLE BENNETT
11806 MURR WAY
HOUSTON, TX 77048-2528
Phone number: 281-606-9823
Copy
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