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1619616448
MARY GRACE FAILLA
SHREVEPORT, LA
NPI
1619616448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-05-31
Last Update Date
2023-11-06
Business Address
Miss MARY GRACE FAILLA
670 ALBEMARLE DR # 1403
SHREVEPORT, LA 71106-5945
Phone number: 318-327-8404
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Mailing Address
Miss MARY GRACE FAILLA
670 ALBEMARLE DR # 1403
SHREVEPORT, LA 71106-5945
Phone number: 318-327-8404
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