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1568933042
LISA NICHOLS
VIDALIA, LA
NPI
1568933042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
LISA NICHOLS
1109 CARTER ST STE 8
VIDALIA, LA 71373-3227
Phone number: 318-734-0034
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Mailing Address
LISA NICHOLS
1109 CARTER ST STE 8
VIDALIA, LA 71373-3227
Phone number: 318-734-0034
Copy
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