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1679939466
TEQUITA SHENECE SIMON
NEW IBERIA, LA
NPI
1679939466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-08
Last Update Date
2018-06-06
Business Address
TEQUITA SHENECE SIMON MHS
209 W MAIN ST
NEW IBERIA, LA 70560
Phone number: 337-321-9204
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Mailing Address
TEQUITA SHENECE SIMON MHS
209 W MAIN ST
NEW IBERIA, LA 70560-3862
Phone number: 337-321-9204
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