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1952948531
LATRICE BRENGETTSY
VIDALIA, LA
NPI
1952948531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
LATRICE BRENGETTSY
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number: 318-336-8383
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Mailing Address
LATRICE BRENGETTSY
4012 CARTER ST
VIDALIA, LA 71373-3013
Phone number: 318-336-8383
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