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1578123832
ASTRID TATUM
ALEXANDRIA, LA
NPI
1578123832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2019-06-19
Last Update Date
2019-06-19
Business Address
ASTRID TATUM
3600 JACKSON ST STE 111B
ALEXANDRIA, LA 71303-3000
Phone number: 318-613-4663
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Mailing Address
ASTRID TATUM
11 S MAINE RD
PINEVILLE, LA 71360-8901
Phone number: 318-613-4663
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