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1679399737
TIFFANY BOHANNON
LAFAYETTE, LA
NPI
1679399737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
TIFFANY BOHANNON
101 TEURLINGS DR
LAFAYETTE, LA 70501-3832
Phone number: 337-889-0221
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Mailing Address
TIFFANY BOHANNON
101 TEURLINGS DR
LAFAYETTE, LA 70501-3832
Phone number: 337-889-0221
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DEPARTMENT OF HEALTH AND HOSPITALS