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1255527412
MELONIE BULLOCK-SANDERS
SHREVEPORT, LA
NPI
1255527412
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 012794099)
Enumeration Date
2007-09-21
Last Update Date
2024-02-24
Business Address
Ms. MELONIE BULLOCK-SANDERS N/A
1915 HIGHLAND AVE
SHREVEPORT, LA 71101-4818
Phone number: 940-577-8536
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Mailing Address
Ms. MELONIE BULLOCK-SANDERS N/A
1915 HIGHLAND AVE
SHREVEPORT, LA 71101-4818
Phone number: 940-577-8536
Copy
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