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1700390879
DARRELL COMANCHE
MONROE, LA
NPI
1700390879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-11-27
Last Update Date
2018-05-30
Business Address
DARRELL COMANCHE MHS
1800 STUBBS AVE
MONROE, LA 71201
Phone number: 318-730-9540
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Mailing Address
DARRELL COMANCHE MHS
114 INEICHEN ST
RAYVILLE, LA 71269-3223
Phone number: 318-417-7780
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