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1255820338
GLENNIS MCKELPHIN
BOGALUSA, LA
NPI
1255820338
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-04
Last Update Date
2018-12-05
Business Address
GLENNIS MCKELPHIN
311 LOUISIANA AVE
BOGALUSA, LA 70427-3839
Phone number: 888-417-5250
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Mailing Address
GLENNIS MCKELPHIN
106 BUSINESS PARK AVENUE
DENHAM SPRINGS, LA 70726
Phone number: 888-417-5250
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