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1336780501
JENETTA WILSON
MONROE, LA
NPI
1336780501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
JENETTA WILSON
2808 EVANGELINE ST
MONROE, LA 71201-3750
Phone number: 318-325-9503
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Mailing Address
JENETTA WILSON
2808 EVANGELINE ST
MONROE, LA 71201-3750
Phone number:
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