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1720567555
CHANTASIA D GRASTY
ALEXANDRIA, LA
NPI
1720567555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-13
Last Update Date
2023-03-18
Business Address
Miss CHANTASIA D GRASTY MHS
3600 JACKSON ST STE 119
ALEXANDRIA, LA 71303-3096
Phone number: 318-625-7050
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Mailing Address
Miss CHANTASIA D GRASTY MHS
617 BAPTIST ST APT B
PINEVILLE, LA 71360-7140
Phone number: 337-487-9545
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