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Individual

AMPARO BETANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1204 STUBBS AVE STE B, MONROE, LA 71201-5631
(318) 582-5633
Mailing address
300 MCKINLEY ST APT 6, MONROE, LA 71201-4074
(318) 791-0205
(318) 582-5646

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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