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1083124887
ELIZABETH PONDER
SHREVEPORT, LA
NPI
1083124887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-10-05
Last Update Date
2022-07-21
Business Address
ELIZABETH PONDER MHP
404 HEARNE AVENUE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
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Mailing Address
ELIZABETH PONDER MHP
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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