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1174057806
JACQUELINE BAHAM
METAIRIE, LA
NPI
1174057806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-04-19
Last Update Date
2018-06-28
Business Address
JACQUELINE BAHAM BA
2540 SEVERN AVE STE 100
METAIRIE, LA 70002
Phone number: 504-454-3740
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Mailing Address
JACQUELINE BAHAM BA
2540 SEVERN AVE STE 100
METAIRIE, LA 70002-5941
Phone number: 504-454-3740
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