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1386155026
KIMBERLY DANENE JIMMERSON
SHREVEPORT, LA
NPI
1386155026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2017-10-21
Last Update Date
2018-05-20
Business Address
KIMBERLY DANENE JIMMERSON
9245 WALLACE LAKE RD
SHREVEPORT, LA 71106
Phone number: 318-221-2828
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Mailing Address
KIMBERLY DANENE JIMMERSON
PO BOX 349
STONEWALL, LA 71078-0349
Phone number:
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