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1184152340
LETRAINIUMP KIVANTE RICHARD
NEW ORLEANS, LA
NPI
1184152340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-31
Last Update Date
2022-07-21
Business Address
Mr. LETRAINIUMP KIVANTE RICHARD BA
7830 COLAPISSA ST
NEW ORLEANS, LA 70125
Phone number: 337-849-5404
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Mailing Address
Mr. LETRAINIUMP KIVANTE RICHARD BA
519 S PIERCE ST UNIT 1305
LAFAYETTE, LA 70501-5962
Phone number: 337-849-5404
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