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1629744008
DEIONTE VONTREAL WHITE
BATON ROUGE, LA
NPI
1629744008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
Mr. DEIONTE VONTREAL WHITE B.S., MHS
4348 S JEFFREY DR
BATON ROUGE, LA 70816-4196
Phone number: 225-361-0219
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Mailing Address
Mr. DEIONTE VONTREAL WHITE B.S., MHS
8958 FOLLY BROWN RD
CLINTON, LA 70722-4443
Phone number: 225-244-1585
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