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1083088124
IVORY VEAL
SHREVEPORT, LA
NPI
1083088124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-29
Last Update Date
2018-07-13
Business Address
IVORY VEAL A.A., MHS
5902 BUNCOMBE RD
SHREVEPORT, LA 71129
Phone number: 318-670-8898
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Mailing Address
IVORY VEAL A.A., MHS
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898
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