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1215393335
JEREMIAH GIVENS
SHREVEPORT, LA
NPI
1215393335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-05
Last Update Date
2019-06-06
Business Address
JEREMIAH GIVENS
1181 DUDLEY DR
SHREVEPORT, LA 71104-4734
Phone number: 313-539-7963
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Mailing Address
JEREMIAH GIVENS
1181 DUDLEY DR
SHREVEPORT, LA 71104-4734
Phone number: 313-539-7963
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