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1407381973
DOMINIQUE STEVENSON
SHREVEPORT, LA
NPI
1407381973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
174400000X Specialist
Enumeration Date
2017-04-21
Last Update Date
2019-03-06
Business Address
Miss DOMINIQUE STEVENSON
6800 RASBERRY LANE APT.1901
SHREVEPORT, LA 71129
Phone number: 318-834-5287
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Mailing Address
Miss DOMINIQUE STEVENSON
6800 RASBERRY LN APT 1901
SHREVEPORT, LA 71129-2525
Phone number: 318-834-5287
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