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1992161970
KENYATTA SMALL
LAFAYETTE, LA
NPI
1992161970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-06
Last Update Date
2018-05-17
Business Address
Mr. KENYATTA SMALL
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Phone number: 337-255-4352
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Mailing Address
Mr. KENYATTA SMALL
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303-2351
Phone number: 337-255-4352
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