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1164187290
ELLORINE D EDINBURGH
SHREVEPORT, LA
NPI
1164187290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
ELLORINE D EDINBURGH
1522 SYCAMORE ST
SHREVEPORT, LA 71103-2965
Phone number: 318-230-6192
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Mailing Address
ELLORINE D EDINBURGH
1522 SYCAMORE ST
SHREVEPORT, LA 71103-2965
Phone number: 318-230-6192
Copy
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