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1487330585
JORDAN MCKENZIE RICHARDSON
SHREVEPORT, LA
NPI
1487330585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-23
Last Update Date
2023-06-23
Business Address
JORDAN MCKENZIE RICHARDSON
2015 FAIRFIELD AVE STE 1A
SHREVEPORT, LA 71104-2066
Phone number: 318-675-0406
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Mailing Address
JORDAN MCKENZIE RICHARDSON
2015 FAIRFIELD AVE STE 1A
SHREVEPORT, LA 71104-2066
Phone number: 318-675-0406
Copy
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