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1295321032
DAVID ORTIZ
THIBODAUX, LA
NPI
1295321032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-16
Last Update Date
2022-07-15
Business Address
DAVID ORTIZ
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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Mailing Address
DAVID ORTIZ
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number:
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