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1730552753
TIFFANY NELSON
MARRERO, LA
NPI
1730552753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
(Licence: LA 464581059)
Enumeration Date
2015-11-12
Last Update Date
2018-11-27
Business Address
TIFFANY NELSON
4700 WICHERS DR 205
MARRERO, LA 70072-3041
Phone number: 504-407-0709
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Mailing Address
TIFFANY NELSON
4700 WICHERS DR 205
MARRERO, LA 70072-3041
Phone number: 504-407-0709
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