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1467823385
DETRICK JAMES
MONROE, LA
NPI
1467823385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-19
Last Update Date
2018-06-04
Business Address
DETRICK JAMES
4951 CENTRAL AVE
MONROE, LA 71203
Phone number: 318-340-1535
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Mailing Address
DETRICK JAMES
850 KALISTE SALOOM RD STE 117
LAFAYETTE, LA 70508-4230
Phone number: 337-234-7109
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