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1396222493
TONJA WHITAKER PRUDHOMME
SHREVEPORT, LA
NPI
1396222493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-23
Last Update Date
2021-08-24
Business Address
TONJA WHITAKER PRUDHOMME
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
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Mailing Address
TONJA WHITAKER PRUDHOMME
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
Copy
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