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1376050526
KEVIN HUBBARD
BASTROP, LA
NPI
1376050526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-01-09
Last Update Date
2019-05-22
Business Address
KEVIN HUBBARD
9409 WILLOW DR
BASTROP, LA 71220
Phone number: 318-238-3862
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Mailing Address
KEVIN HUBBARD
9409 WILLOW DR
BASTROP, LA 71220-4814
Phone number: 318-238-3862
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