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1578127775
ANDRE A MALBROUGH
JENNINGS, LA
NPI
1578127775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-24
Last Update Date
2019-04-24
Business Address
ANDRE A MALBROUGH
203 E ACADEMY AVE
JENNINGS, LA 70546-5331
Phone number: 337-824-1255
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Mailing Address
ANDRE A MALBROUGH
3625 YOUREE DR
SHREVEPORT, LA 71105-2121
Phone number:
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