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1881104438
MONA LISA SWINNY
VIDALIA, LA
NPI
1881104438
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Former Name
MONA LISA SWINNY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-10
Last Update Date
2021-07-23
Business Address
MONA LISA SWINNY
4907 HIGHWAY 84 W
VIDALIA, LA 71373-3579
Phone number: 318-414-3065
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Mailing Address
MONA LISA SWINNY
4907 HIGHWAY 84 W
VIDALIA, LA 71373-3579
Phone number: 318-533-0028
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