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1194280297
PHILICIA TRAVIS
HAMMOND, LA
NPI
1194280297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
PHILICIA TRAVIS
1312 N. MORRISON BLVD
HAMMOND, LA 70401
Phone number: 985-551-5155
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Mailing Address
PHILICIA TRAVIS
21433 JACKSON RD
KENTWOOD, LA 70444-7365
Phone number:
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