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1063124659
DEMETRIA GREEN-TAYLOR
SHREVEPORT, LA
NPI
1063124659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-15
Last Update Date
2022-12-15
Business Address
DEMETRIA GREEN-TAYLOR
2015 FAIRFIELD AVE STE 1A
SHREVEPORT, LA 71104-2066
Phone number: 318-675-0406
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Mailing Address
DEMETRIA GREEN-TAYLOR
2015 FAIRFIELD AVE STE 1A
SHREVEPORT, LA 71104-2066
Phone number: 318-675-0406
Copy
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