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1538879366
BREONKA BURNOM
SHREVEPORT, LA
NPI
1538879366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
BREONKA BURNOM MS, MAT
1519 CRESWELL AVE
SHREVEPORT, LA 71101-4774
Phone number: 318-869-1899
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Mailing Address
BREONKA BURNOM MS, MAT
1519 CRESWELL AVE
SHREVEPORT, LA 71101-4774
Phone number: 318-869-1899
Copy
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