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1205546025
LISA DIANE ALLEN
SHREVEPORT, LA
NPI
1205546025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
LISA DIANE ALLEN
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
LISA DIANE ALLEN
189 ELAM ST
RUSTON, LA 71270-9134
Phone number: 318-278-0190
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