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1740765122
TYIANNE LAWRENCE THIBODEAUX
LAFAYETTE, LA
NPI
1740765122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-01
Last Update Date
2018-10-01
Business Address
TYIANNE LAWRENCE THIBODEAUX
116 BERTRAND DR
LAFAYETTE, LA 70506-5632
Phone number: 337-261-8781
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Mailing Address
TYIANNE LAWRENCE THIBODEAUX
116 BERTRAND DR
LAFAYETTE, LA 70506-5632
Phone number:
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