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1770108383
JODI BROOKS MARIA BOUTTE
FATE, TX
NPI
1770108383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-06-09
Last Update Date
2020-06-09
Business Address
JODI BROOKS MARIA BOUTTE MS
554 JAMESTOWN LN
FATE, TX 75189-5116
Phone number: 337-577-6298
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Mailing Address
JODI BROOKS MARIA BOUTTE MS
554 JAMESTOWN LN
FATE, TX 75189-5116
Phone number: 337-577-6298
Copy