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1942889860
LATISHA COLLINE
BREAUX BRIDGE, LA
NPI
1942889860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-04-07
Last Update Date
2021-04-29
Business Address
LATISHA COLLINE
400 RICHARD ST
BREAUX BRIDGE, LA 70517-6039
Phone number: 337-319-4376
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Mailing Address
LATISHA COLLINE
400 RICHARD ST
BREAUX BRIDGE, LA 70517-6039
Phone number: 337-319-4376
Copy
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