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1972255024
ISAIAH JOSEPH BENAVIDES
ALEXANDRIA, LA
NPI
1972255024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
ISAIAH JOSEPH BENAVIDES
6224 BOUEF TRCE
ALEXANDRIA, LA 71301-2303
Phone number: 318-794-0392
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Mailing Address
ISAIAH JOSEPH BENAVIDES
6224 BOUEF TRCE
ALEXANDRIA, LA 71301-2303
Phone number: 318-794-0392
Copy
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