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1073212767
KHANDICE LASHA TAYLOR
SHREVEPORT, LA
NPI
1073212767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
KHANDICE LASHA TAYLOR
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-221-5565
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Mailing Address
KHANDICE LASHA TAYLOR
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number:
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