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1134683451
TESHIKA ARDISON
SHREVEPORT, LA
NPI
1134683451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-31
Last Update Date
2019-10-03
Business Address
TESHIKA ARDISON
9304 MANSFIELD RD
SHREVEPORT, LA 71105-2497
Phone number: 318-746-1935
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Mailing Address
TESHIKA ARDISON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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