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1215592803
JACQUIETTA PHILLIPS
MONROE, LA
NPI
1215592803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-05-08
Last Update Date
2019-05-08
Business Address
JACQUIETTA PHILLIPS
2404 FERRAND ST STE 24
MONROE, LA 71201-3233
Phone number: 318-323-1560
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Mailing Address
JACQUIETTA PHILLIPS
2404 FERRAND ST STE 24
MONROE, LA 71201-3233
Phone number: 318-323-1560
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