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1619474996
JACKIE BENNETT
SHREVEPORT, LA
NPI
1619474996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-12
Last Update Date
2018-05-18
Business Address
JACKIE BENNETT
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Phone number: 318-532-5991
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Mailing Address
JACKIE BENNETT
6324 LAFLEUR DRIVE
SHREVEPORT, LA 71109
Phone number:
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