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1568026797
JARED DEWAINE LITTLE
ALEXANDRIA, LA
NPI
1568026797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-23
Last Update Date
2020-09-23
Business Address
Mr. JARED DEWAINE LITTLE MP
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303-2351
Phone number: 318-449-4474
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Mailing Address
Mr. JARED DEWAINE LITTLE MP
1000 CHINABERRY DR STE 902
BOSSIER CITY, LA 71111-2455
Phone number:
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