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1669051934
LATASHA R WILEY
MONROE, LA
NPI
1669051934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-05
Last Update Date
2021-04-28
Business Address
LATASHA R WILEY
4310 S GRAND ST
MONROE, LA 71202-6322
Phone number: 888-693-4996
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Mailing Address
LATASHA R WILEY
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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