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1619464013
PHILLIP ANTHONY LIVAS
HOUMA, LA
NPI
1619464013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-20
Last Update Date
2023-01-11
Business Address
PHILLIP ANTHONY LIVAS
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 504-314-1737
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Mailing Address
PHILLIP ANTHONY LIVAS
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 504-314-1737
Copy
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