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1649039116
JONATHAN PORTER
LA PLACE, LA
NPI
1649039116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-18
Last Update Date
2024-03-18
Business Address
JONATHAN PORTER
2105 GREENWOOD DR
LA PLACE, LA 70068-2042
Phone number: 504-952-5343
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Mailing Address
JONATHAN PORTER
2237 WILLIAMSBURG DR
LA PLACE, LA 70068-2327
Phone number:
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