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1861096976
AUSTIN TANNER GRAHAM
ALEXANDRIA, LA
NPI
1861096976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
AUSTIN TANNER GRAHAM
109 YORKTOWN DR STE A
ALEXANDRIA, LA 71303-3673
Phone number: 131-827-7668
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Mailing Address
AUSTIN TANNER GRAHAM
15 JAMES RD
BOYCE, LA 71409-9193
Phone number: 318-542-4288
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