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1184127698
KENYA SMITH
PRAIRIEVILLE, LA
NPI
1184127698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-10
Last Update Date
2022-07-21
Business Address
KENYA SMITH
36369 CRESTWAY AVE
PRAIRIEVILLE, LA 70769
Phone number: 225-588-0775
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Mailing Address
KENYA SMITH
36369 CRESTWAY AVE
PRAIRIEVILLE, LA 70769-3272
Phone number: 225-810-5967
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