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1437631637
PRECIOUS LORRELL FULLER
SHREVEPORT, LA
NPI
1437631637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
PRECIOUS LORRELL FULLER
850 TEXAS AVE
SHREVEPORT, LA 71101-3448
Phone number: 318-213-1665
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Mailing Address
PRECIOUS LORRELL FULLER
850 TEXAS AVE
SHREVEPORT, LA 71101-3448
Phone number: 318-213-1665
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