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1508524992
ROXLYN LESHAE PENNYWELL
SHREVEPORT, LA
NPI
1508524992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
ROXLYN LESHAE PENNYWELL
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
ROXLYN LESHAE PENNYWELL
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Copy
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