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1033633490
SHANNON PORTER
RAYVILLE, LA
NPI
1033633490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-07-27
Last Update Date
2018-09-12
Business Address
SHANNON PORTER
114 INEICHEN ST
RAYVILLE, LA 71269
Phone number: 318-417-7780
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Mailing Address
SHANNON PORTER
114 INEICHEN ST
RAYVILLE, LA 71269-3223
Phone number:
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