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1184281917
JAI'JUAN MANUEL
THIBODAUX, LA
NPI
1184281917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-28
Last Update Date
2023-03-27
Business Address
JAI'JUAN MANUEL
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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Mailing Address
JAI'JUAN MANUEL
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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