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1164914289
SHAKARA TYSON
HAMMOND, LA
NPI
1164914289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
SHAKARA TYSON
12561 WARDLINE RD
HAMMOND, LA 70401-6212
Phone number: 985-551-5155
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Mailing Address
SHAKARA TYSON
12561 WARDLINE RD
HAMMOND, LA 70401-6212
Phone number:
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