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1356983043
LATISHA BOULDIN
SHREVEPORT, LA
NPI
1356983043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-14
Last Update Date
2022-04-13
Business Address
LATISHA BOULDIN
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-779-1867
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Mailing Address
LATISHA BOULDIN
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 318-773-8704
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