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1407589542
MARVIN BLAKE
NATCHITOCHES, LA
NPI
1407589542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
MARVIN BLAKE
1760 TEXAS ST
NATCHITOCHES, LA 71457-3429
Phone number: 318-238-8801
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Mailing Address
MARVIN BLAKE
1760 TEXAS ST
NATCHITOCHES, LA 71457-3429
Phone number: 318-238-8801
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