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1578835450
ROOSEVELT THOMAS
HOUMA, LA
NPI
1578835450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-02-07
Last Update Date
2012-02-07
Business Address
Mr. ROOSEVELT THOMAS
1340 W. TUNNEL SUITE 430
HOUMA, LA 70360
Phone number: 985-868-2620
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Mailing Address
Mr. ROOSEVELT THOMAS
1340 W TUNNEL BLVD SUITE 430
HOUMA, LA 70360-2801
Phone number: 985-868-2620
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