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1437682036
LATINA JORDAN
ALEXANDRIA, LA
NPI
1437682036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-04-10
Last Update Date
2018-07-25
Business Address
LATINA JORDAN
1450 PETERMAN DR STE A
ALEXANDRIA, LA 71301
Phone number: 318-473-4328
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Mailing Address
LATINA JORDAN
1450 PETERMAN DR STE A
ALEXANDRIA, LA 71301-3432
Phone number:
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