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1437627064
TREMENDOUS TRESHELL MAIDEN
SHREVEPORT, LA
NPI
1437627064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
TREMENDOUS TRESHELL MAIDEN BS
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number: 318-771-7707
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Mailing Address
TREMENDOUS TRESHELL MAIDEN BS
2715 MACKEY PL
SHREVEPORT, LA 71118-2544
Phone number:
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