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1629442652
TAWANDA GORRELL
SHREVEPORT, LA
NPI
1629442652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-13
Last Update Date
2018-05-24
Business Address
TAWANDA GORRELL
543 STONER AVE
SHREVEPORT, LA 71101
Phone number: 318-673-9901
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Mailing Address
TAWANDA GORRELL
800 SPRING ST STE 205
SHREVEPORT, LA 71101-3757
Phone number: 318-673-9901
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