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1114586120
ANGEL ALLYSON ADAMS BURRELL
SHREVEPORT, LA
NPI
1114586120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-12
Last Update Date
2021-06-07
Business Address
ANGEL ALLYSON ADAMS BURRELL
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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Mailing Address
ANGEL ALLYSON ADAMS BURRELL
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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