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1255811261
MICAH CHARLES NICHOLAS
NEW IBERIA, LA
NPI
1255811261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: 171M00000X)
Enumeration Date
2018-08-19
Last Update Date
2018-08-30
Business Address
MICAH CHARLES NICHOLAS BA
825 CENTER ST
NEW IBERIA, LA 70560
Phone number: 337-551-4630
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Mailing Address
MICAH CHARLES NICHOLAS BA
825 CENTER ST STE A
NEW IBERIA, LA 70560-5500
Phone number: 337-551-4630
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