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1417433061
ERVIN BRIDGEWATER
HAMMOND, LA
NPI
1417433061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
ERVIN BRIDGEWATER
1008 VENICE AVE
HAMMOND, LA 70403-5454
Phone number: 985-662-3799
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Mailing Address
ERVIN BRIDGEWATER
1008 VENICE AVE
HAMMOND, LA 70403-5454
Phone number: 985-662-3799
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