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1467819839
TERESA BLAKE
SHREVEPORT, LA
NPI
1467819839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-01-15
Last Update Date
2018-08-10
Business Address
TERESA BLAKE
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104
Phone number: 318-742-3408
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Mailing Address
TERESA BLAKE
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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