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1366132607
MASON LEWIS
THIBODAUX, LA
NPI
1366132607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
MASON LEWIS BA
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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Mailing Address
MASON LEWIS BA
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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