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1891453197
KEYADDA BRIM
PONCHATOULA, LA
NPI
1891453197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
KEYADDA BRIM
16092 BLUE BAYOU ST
PONCHATOULA, LA 70454-7601
Phone number: 985-387-5420
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Mailing Address
KEYADDA BRIM
16092 BLUE BAYOU ST
PONCHATOULA, LA 70454-7601
Phone number: 985-387-5420
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