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1205407202
SHIRLEY FUQUA
DENHAM SPRINGS, LA
NPI
1205407202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
SHIRLEY FUQUA
1992 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726-4971
Phone number: 225-304-6764
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Mailing Address
SHIRLEY FUQUA
1992 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726-4971
Phone number:
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