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1255801601
AUTCHALO NICOLE JONES
BASTROP, LA
NPI
1255801601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-28
Last Update Date
2018-12-11
Business Address
AUTCHALO NICOLE JONES BA
410 S FRANKLIN ST
BASTROP, LA 71220-4533
Phone number: 318-283-0773
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Mailing Address
AUTCHALO NICOLE JONES BA
1010 N 9TH ST
MONROE, LA 71201-5513
Phone number: 318-410-1062
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