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1609362714
DONNA LISA CROCKETT
TALLULAH, LA
NPI
1609362714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-02
Last Update Date
2018-07-02
Business Address
DONNA LISA CROCKETT
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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Mailing Address
DONNA LISA CROCKETT
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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