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1538515077
CLEVOSHONDA BLAIR
TALLULAH, LA
NPI
1538515077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-13
Last Update Date
2018-05-15
Business Address
Mrs. CLEVOSHONDA BLAIR
1705 FELICIA AVE
TALLULAH, LA 71282
Phone number: 318-574-1232
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Mailing Address
Mrs. CLEVOSHONDA BLAIR
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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