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1174197743
MIRACLE CARR
SHREVEPORT, LA
NPI
1174197743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-18
Last Update Date
2021-08-29
Business Address
MIRACLE CARR
1705 RUSSELL RD
SHREVEPORT, LA 71107-6325
Phone number: 318-510-3189
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Mailing Address
MIRACLE CARR
1705 RUSSELL RD
SHREVEPORT, LA 71107-6325
Phone number: 318-383-8563
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