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1861167603
ISCHIA PETERSON
HAMMOND, LA
NPI
1861167603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-08-13
Last Update Date
2021-08-13
Business Address
ISCHIA PETERSON
835 PRIDE DR
HAMMOND, LA 70401-9527
Phone number: 985-517-7730
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Mailing Address
ISCHIA PETERSON
835 PRIDE DR
HAMMOND, LA 70401-9527
Phone number:
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