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1568000354
KHAYLA QUAVE PUGH
BOSSIER CITY, LA
NPI
1568000354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-12
Last Update Date
2019-12-12
Business Address
KHAYLA QUAVE PUGH
5512 KRISTEN AVE
BOSSIER CITY, LA 71112-4821
Phone number: 318-773-0047
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Mailing Address
KHAYLA QUAVE PUGH
5512 KRISTEN AVE
BOSSIER CITY, LA 71112-4821
Phone number: 318-773-0047
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