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1932862075
DEMETRICE FAYOR MINOR
BATON ROUGE, LA
NPI
1932862075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
DEMETRICE FAYOR MINOR
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
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Mailing Address
DEMETRICE FAYOR MINOR
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
Copy
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