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1336824036
GEORGINA KATYUSCA MALDONADO
SHREVEPORT, LA
NPI
1336824036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
GEORGINA KATYUSCA MALDONADO
2100 E 70TH ST STE A
SHREVEPORT, LA 71105-5363
Phone number: 318-227-4999
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Mailing Address
GEORGINA KATYUSCA MALDONADO
6900 BUNCOMBE RD LOT 51
SHREVEPORT, LA 71129-9496
Phone number: 318-553-0850
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