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1376031740
KIESHIA M DOHERTY
BATON ROUGE, LA
NPI
1376031740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-01
Last Update Date
2018-05-01
Business Address
KIESHIA M DOHERTY
7569 E INDUSTRIAL DR
BATON ROUGE, LA 70805-7518
Phone number: 225-924-9164
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Mailing Address
KIESHIA M DOHERTY
PO BOX 45698
BATON ROUGE, LA 70895-4698
Phone number: 225-924-9164
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