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1629645130
JAELYN MARICLE
ALEXANDRIA, LA
NPI
1629645130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 011331500)
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
Miss JAELYN MARICLE
1500 LEE ST
ALEXANDRIA, LA 71301-6234
Phone number: 318-625-7050
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Mailing Address
Miss JAELYN MARICLE
10 BROWN DOYLE RD
PITKIN, LA 70656-2004
Phone number: 318-452-1717
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