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1275016321
BERTHA L SMITH
SHREVEPORT, LA
NPI
1275016321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-13
Last Update Date
2018-09-13
Business Address
BERTHA L SMITH
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
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Mailing Address
BERTHA L SMITH
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
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