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1538668538
SHASTA BODDIE
BATON ROUGE, LA
NPI
1538668538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-05
Last Update Date
2021-03-16
Business Address
SHASTA BODDIE
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-929-9783
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Mailing Address
SHASTA BODDIE
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
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