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1114378346
MIRANDA JENKINS
SHREVEPORT, LA
NPI
1114378346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-06-29
Last Update Date
2019-01-14
Business Address
MIRANDA JENKINS
6201 BERT KOUN LOOP
SHREVEPORT, LA 71129-5056
Phone number: 318-272-5768
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Mailing Address
MIRANDA JENKINS
6201 BERT KOUN LOOP
SHREVEPORT, LA 71129-5056
Phone number:
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