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1053962829
ALYSSA MARTIN
SHREVEPORT, LA
NPI
1053962829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
ALYSSA MARTIN
1301 COATES BLUFF DR APT 1212
SHREVEPORT, LA 71104-2864
Phone number: 708-691-9355
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Mailing Address
ALYSSA MARTIN
1301 COATES BLUFF DR APT 1212
SHREVEPORT, LA 71104-2864
Phone number: 708-691-9355
Copy
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