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1871043125
REGINALD DAVIS
NEW IBERIA, LA
NPI
1871043125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-10-11
Last Update Date
2018-05-17
Business Address
REGINALD DAVIS
1614 E MAIN ST STE D
NEW IBERIA, LA 70560
Phone number: 337-256-5917
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Mailing Address
REGINALD DAVIS
1614 E MAIN ST STE D
NEW IBERIA, LA 70560-4056
Phone number:
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