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1073024014
CHARNITA THOMAS
SHREVEPORT, LA
NPI
1073024014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-17
Last Update Date
2018-11-29
Business Address
CHARNITA THOMAS
5610 BUNCOMBE RD APT 504
SHREVEPORT, LA 71129
Phone number: 318-562-8135
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Mailing Address
CHARNITA THOMAS
5610 BUNCOMBE RD APT 504
SHREVEPORT, LA 71129-2692
Phone number: 318-562-8135
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