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1740836543
JADERRIUS BURTON
MONROE, LA
NPI
1740836543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-08-16
Last Update Date
2020-01-24
Business Address
MR. JADERRIUS BURTON
500 N 21ST ST
MONROE, LA 71201-6532
Phone number: 318-450-4911
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Mailing Address
MR. JADERRIUS BURTON
500 N 21ST ST
MONROE, LA 71201-6532
Phone number: 318-450-4911
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