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1477012318
NORVELL LASHAWN WATTS
VIDALIA, LA
NPI
1477012318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-19
Last Update Date
2019-03-19
Business Address
NORVELL LASHAWN WATTS
1810 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-336-4797
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Mailing Address
NORVELL LASHAWN WATTS
1810 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-336-4797
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