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1649641028
JASMINE FELLS
VIDALIA, LA
NPI
1649641028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-10-12
Last Update Date
2018-05-30
Business Address
JASMINE FELLS
4012 CARTER ST
VIDALIA, LA 71373
Phone number: 318-336-8383
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Mailing Address
JASMINE FELLS
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number:
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