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1306302443
DIAMOND MARIE WILLIS
SHREVEPORT, LA
NPI
1306302443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
DIAMOND MARIE WILLIS
9403 MANSFIELD RD.
SHREVEPORT, LA 71118
Phone number: 318-861-8938
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Mailing Address
DIAMOND MARIE WILLIS
3409 CLAYTON CT.
SHREVEPORT, LA 71118
Phone number:
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