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1730711359
JESSICA DANIELLE PORTER
LA PLACE, LA
NPI
1730711359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
JESSICA DANIELLE PORTER
421 W AIRLINE HWY STE F
LA PLACE, LA 70068-3820
Phone number: 985-651-4612
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Mailing Address
JESSICA DANIELLE PORTER
139 TAMMY DR
LA PLACE, LA 70068-6474
Phone number: 985-817-5309
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