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1376218040
CARRIE JEAN BALBOA
SLIDELL, LA
NPI
1376218040
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Former Name
CARRIE JEAN BENEDICT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
CARRIE JEAN BALBOA
118 VILLAGE ST
SLIDELL, LA 70458-5302
Phone number: 574-444-8530
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Mailing Address
CARRIE JEAN BALBOA
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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