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1316403967
JEREMY ELLIS
CHALMETTE, LA
NPI
1316403967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-19
Last Update Date
2020-11-09
Business Address
JEREMY ELLIS
2626 CHARLES DR
CHALMETTE, LA 70043-3779
Phone number: 504-278-4006
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Mailing Address
JEREMY ELLIS
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 504-406-5030
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