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1194450015
JACOB SPENCER SIMON
LAFAYETTE, LA
NPI
1194450015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-24
Last Update Date
2022-08-01
Business Address
JACOB SPENCER SIMON
128 DEMANADE BLVD STE 201
LAFAYETTE, LA 70503-2567
Phone number: 225-261-7143
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Mailing Address
JACOB SPENCER SIMON
128 DEMANADE BLVD STE 201
LAFAYETTE, LA 70503-2567
Phone number:
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