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1831912450
MANDRELL MONTEL JACK
NEW ORLEANS, LA
NPI
1831912450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: LA 300248)
Enumeration Date
2024-11-02
Last Update Date
2024-11-02
Business Address
MANDRELL MONTEL JACK
646 S GAYOSO ST
NEW ORLEANS, LA 70119-7249
Phone number: 504-666-2016
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Mailing Address
MANDRELL MONTEL JACK
646 S GAYOSO ST
NEW ORLEANS, LA 70119-7249
Phone number: 504-666-2016
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