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1265017297
KHADIJAH COOPER
HAMMOND, LA
NPI
1265017297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 010754062)
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
KHADIJAH COOPER
14568 KOHNKE HILL RD
HAMMOND, LA 70401-7134
Phone number: 985-602-7312
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Mailing Address
KHADIJAH COOPER
14568 KOHNKE HILL RD
HAMMOND, LA 70401-7134
Phone number: 985-602-7312
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