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1306372420
OCTAVIA YOUNG
SHREVEPORT, LA
NPI
1306372420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-05-10
Last Update Date
2018-08-15
Business Address
OCTAVIA YOUNG
1301 YOUREE DR
SHREVEPORT, LA 71101
Phone number: 318-675-0804
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Mailing Address
OCTAVIA YOUNG
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
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