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1346942265
FREDRICK JERMAINE LOUIS
MONROE, LA
NPI
1346942265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
FREDRICK JERMAINE LOUIS
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-0945
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Mailing Address
FREDRICK JERMAINE LOUIS
3705 RAPIDES ST
MONROE, LA 71203-3425
Phone number: 318-348-6489
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