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1144660028
RESURRECTION CENTER OF LOUISIANA
SHREVEPORT, LA
NPI
1144660028
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Entity Type
Organization
Authorized Contact
OMISHA MICHELLE BANKS
Owner
318-455-7275
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
RESURRECTION CENTER OF LOUISIANA
515 E WASHINGTON ST SUITE B
SHREVEPORT, LA 71104-3658
Phone number: 318-455-7275
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Mailing Address
RESURRECTION CENTER OF LOUISIANA
515 E WASHINGTON ST SUITE B
SHREVEPORT, LA 71104-3658
Phone number: 318-455-7275
Copy
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