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1518421106
KIRA WILSON
SHREVEPORT, LA
NPI
1518421106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
KIRA WILSON
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-220-8423
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Mailing Address
KIRA WILSON
2704 SHED RD
BOSSIER CITY, LA 71111-3382
Phone number: 318-801-5260
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