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1578322541
ALERIC WALLACE
SHREVEPORT, LA
NPI
1578322541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-13
Last Update Date
2024-03-13
Business Address
ALERIC WALLACE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
ALERIC WALLACE
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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