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1295381655
DANIELLE DAVIS
TALLULAH, LA
NPI
1295381655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-12
Last Update Date
2019-12-23
Business Address
DANIELLE DAVIS
124 KIMBROUGH BLVD BLDG Q124
TALLULAH, LA 71282-4307
Phone number: 601-574-4400
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Mailing Address
DANIELLE DAVIS
PO BOX 53
SONDHEIMER, LA 71276-0053
Phone number: 318-418-3192
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