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1194279471
KIERON RENARD BROOMSEY
SHREVEPORT, LA
NPI
1194279471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-04
Last Update Date
2018-05-21
Business Address
Mr. KIERON RENARD BROOMSEY LCM
1434 HAWN AVE
SHREVEPORT, LA 71107
Phone number: 318-422-4459
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Mailing Address
Mr. KIERON RENARD BROOMSEY LCM
1820 BENTON ROAD
BOSSIER CITY, LA 71111
Phone number: 318-422-4459
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