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1629729280
DOUGLAS BLACK
METAIRIE, LA
NPI
1629729280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-14
Last Update Date
2022-01-14
Business Address
DOUGLAS BLACK
4300 S I 10 SERVICE RD W
METAIRIE, LA 70001-7405
Phone number: 504-301-9990
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Mailing Address
DOUGLAS BLACK
6237 WAINWRIGHT DR
NEW ORLEANS, LA 70122-3515
Phone number: 504-296-0349
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