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1912539016
TANESKEA DOUGLAS
MONROE, LA
NPI
1912539016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-06
Last Update Date
2020-02-10
Business Address
TANESKEA DOUGLAS
1204 STUBBS AVE STE B
MONROE, LA 71201-5631
Phone number: 318-582-5633
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Mailing Address
TANESKEA DOUGLAS
1204 STUBBS AVE STE B
MONROE, LA 71201-5631
Phone number:
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