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1972274785
PRECIOUS TYQUENCIA RICHARD
BATON ROUGE, LA
NPI
1972274785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
PRECIOUS TYQUENCIA RICHARD
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
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Mailing Address
PRECIOUS TYQUENCIA RICHARD
1301 PINE BLUFF AVE
ZACHARY, LA 70791-8246
Phone number: 225-328-8852
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