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1508590993
EBONY KNIGHTEN
THIBODAUX, LA
NPI
1508590993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-12
Last Update Date
2022-07-12
Business Address
EBONY KNIGHTEN
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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Mailing Address
EBONY KNIGHTEN
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
Copy
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