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1427897107
BRIAN WILSON
SHREVEPORT, LA
NPI
1427897107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
BRIAN WILSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-272-6667
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Mailing Address
BRIAN WILSON
2920 KNIGHT ST STE 155
SHREVEPORT, LA 71105-2412
Phone number: 318-272-6667
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