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1578041901
BLAZE BARRIENT
MARRERO, LA
NPI
1578041901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-07-28
Last Update Date
2018-10-11
Business Address
BLAZE BARRIENT MHP
4700 WICHERS DR STE 200
MARRERO, LA 70072-3054
Phone number: 504-645-5506
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Mailing Address
BLAZE BARRIENT MHP
2517 DANTE ST
NEW ORLEANS, LA 70118-3023
Phone number:
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