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1174261119
PRENTISS L WOODFORK
HOUMA, LA
NPI
1174261119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
PRENTISS L WOODFORK
8326 MAIN ST
HOUMA, LA 70363-4871
Phone number: 985-868-2620
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Mailing Address
PRENTISS L WOODFORK
8326 MAIN ST BLDG 3
HOUMA, LA 70363-4871
Phone number: 985-868-2620
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