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1760183867
JACK SMITH
MONROE, LA
NPI
1760183867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-15
Last Update Date
2023-03-15
Business Address
JACK SMITH
4308 S GRAND ST
MONROE, LA 71202-6322
Phone number: 603-988-7679
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Mailing Address
JACK SMITH
4308 S GRAND ST
MONROE, LA 71202-6322
Phone number:
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