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1356890883
LEQUAN WILSON
BATON ROUGE, LA
NPI
1356890883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-26
Last Update Date
2019-05-20
Business Address
LEQUAN WILSON
11616 SOUTHFORK AVE STE 401
BATON ROUGE, LA 70816-5241
Phone number: 225-291-9646
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Mailing Address
LEQUAN WILSON
11616 SOUTHFORK AVE STE 401
BATON ROUGE, LA 70816-5241
Phone number: 225-291-9646
Copy
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