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1245872449
ANQUANESHIA BURNHAM
SHREVEPORT, LA
NPI
1245872449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
ANQUANESHIA BURNHAM
1513 LINE AVENUE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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Mailing Address
ANQUANESHIA BURNHAM
1513 LINE AVENUE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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