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1245799683
ANTON JEROME CLAYBORNE
HARVEY, LA
NPI
1245799683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-15
Last Update Date
2019-08-27
Business Address
ANTON JEROME CLAYBORNE
2439 MANHATTAN BLVD STE 301
HARVEY, LA 70058-5359
Phone number: 504-309-4628
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Mailing Address
ANTON JEROME CLAYBORNE
941 WYNDHAM S
GRETNA, LA 70056-8387
Phone number: 504-509-8632
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