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1598246993
JASMINE KIEARA LOGAN
VIDALIA, LA
NPI
1598246993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-23
Last Update Date
2021-01-04
Business Address
JASMINE KIEARA LOGAN
1109 CARTER ST STE 10
VIDALIA, LA 71373-3227
Phone number: 318-336-4700
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Mailing Address
JASMINE KIEARA LOGAN
1109 CARTER ST STE 10
VIDALIA, LA 71373-3227
Phone number: 318-336-4700
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