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1881965531
JONTUE K HAWTHORNE
THIBODAUX, LA
NPI
1881965531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
Mr. JONTUE K HAWTHORNE B.S.
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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Mailing Address
Mr. JONTUE K HAWTHORNE B.S.
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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