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1881151009
SHAREEF COUSIN
BATON ROUGE, LA
NPI
1881151009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-24
Last Update Date
2019-02-24
Business Address
SHAREEF COUSIN
11861 COURSEY BLVD
BATON ROUGE, LA 70816-4404
Phone number: 225-612-8656
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Mailing Address
SHAREEF COUSIN
11861 COURSEY BLVD
BATON ROUGE, LA 70816-4404
Phone number:
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