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1336712363
BRENDA LAVON NELSON
SHREVEPORT, LA
NPI
1336712363
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-07-19
Last Update Date
2021-07-19
Business Address
BRENDA LAVON NELSON
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number: 318-216-5088
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Mailing Address
BRENDA LAVON NELSON
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number:
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