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1649908153
THEATA BLAKES
MARRERO, LA
NPI
1649908153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-11
Last Update Date
2022-08-11
Business Address
THEATA BLAKES
909 AVENUE C
MARRERO, LA 70072-3123
Phone number: 504-383-7448
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Mailing Address
THEATA BLAKES
909 AVENUE C
MARRERO, LA 70072-3123
Phone number: 504-383-7448
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