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1770948135
DEWASKIE FULLER
NATCHITOCHES, LA
NPI
1770948135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-12-29
Last Update Date
2019-01-14
Business Address
DEWASKIE FULLER
122 KYLE ST
NATCHITOCHES, LA 71457-3686
Phone number: 318-518-5542
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Mailing Address
DEWASKIE FULLER
122 KYLE ST
NATCHITOCHES, LA 71457
Phone number:
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