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1508698051
THOMAS W DESLATTES
SHREVEPORT, LA
NPI
1508698051
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
Mr. THOMAS W DESLATTES
3821 SOUTHERN AVE
SHREVEPORT, LA 71106-1033
Phone number: 318-946-8157
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Mailing Address
Mr. THOMAS W DESLATTES
8105 COLQUITT RD
KEITHVILLE, LA 71047-9099
Phone number: 318-560-0299
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