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1427514330
JACKIE MOORE WOODFORK
SHREVEPORT, LA
NPI
1427514330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
JACKIE MOORE WOODFORK
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
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Mailing Address
JACKIE MOORE WOODFORK
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
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