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1164075297
BEVERLY MANDOLPH
LA PLACE, LA
NPI
1164075297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
BEVERLY MANDOLPH
432 CORRINE CT
LA PLACE, LA 70068-3214
Phone number: 504-701-0385
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Mailing Address
BEVERLY MANDOLPH
432 CORRINE CT
LA PLACE, LA 70068-3214
Phone number:
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