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1851930077
MALLORY PAIGE BASCO
ALEXANDRIA, LA
NPI
1851930077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
MALLORY PAIGE BASCO
1450 PETERMAN DR STE A
ALEXANDRIA, LA 71301-3432
Phone number: 318-473-4328
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Mailing Address
MALLORY PAIGE BASCO
1000 CHINABERRY DR STE 902
BOSSIER CITY, LA 71111-2455
Phone number:
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