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1376903542
TOMMIE NELSON
RUSTON, LA
NPI
1376903542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-03-02
Last Update Date
2019-01-08
Business Address
TOMMIE NELSON
107 W ALABAMA AVE
RUSTON, LA 71270-4403
Phone number: 318-224-7170
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Mailing Address
TOMMIE NELSON
107 W ALABAMA AVE
RUSTON, LA 71270-4403
Phone number: 318-224-7170
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