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1912523796
MIRACLE LAYNE
LAFAYETTE, LA
NPI
1912523796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
MIRACLE LAYNE
100 ASMA BLVD STE 200
LAFAYETTE, LA 70508-3868
Phone number: 337-456-7880
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Mailing Address
MIRACLE LAYNE
100 ASMA BLVD STE 200
LAFAYETTE, LA 70508-3868
Phone number: 337-456-7880
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