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1053896639
SHANTERRIAL TATE
BOSSIER CITY, LA
NPI
1053896639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-28
Last Update Date
2019-05-29
Business Address
SHANTERRIAL TATE
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
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Mailing Address
SHANTERRIAL TATE
3018 OLD MINDEN RD STE 1117
BOSSIER CITY, LA 71112-2497
Phone number: 318-746-1935
Copy
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