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1841790839
SHANTAY AUGUSTINE
LAFAYETTE, LA
NPI
1841790839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-15
Last Update Date
2018-05-29
Business Address
SHANTAY AUGUSTINE
850 KALISTE SALOOM RD STE 117
LAFAYETTE, LA 70508
Phone number: 337-234-7109
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Mailing Address
SHANTAY AUGUSTINE
850 KALISTE SALOOM RD STE 117
LAFAYETTE, LA 70508-4230
Phone number: 337-234-7109
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