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1669195996
SAMANTHA MODISETTE
HAYNESVILLE, LA
NPI
1669195996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
SAMANTHA MODISETTE
2114 BAUCUM PL
HAYNESVILLE, LA 71038-5613
Phone number: 318-433-1419
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Mailing Address
SAMANTHA MODISETTE
2114 BAUCUM PL
HAYNESVILLE, LA 71038-5613
Phone number:
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