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1588105399
MAMIE CLARK
NATCHITOCHES, LA
NPI
1588105399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-13
Last Update Date
2018-06-04
Business Address
MAMIE CLARK
1760 TEXAS ST
NATCHITOCHES, LA 71457
Phone number: 318-238-8801
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Mailing Address
MAMIE CLARK
1760 TEXAS ST
NATCHITOCHES, LA 71457-3429
Phone number: 318-238-8801
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