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1639841604
CANDICE GIBSON
SHREVEPORT, LA
NPI
1639841604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-29
Last Update Date
2021-09-29
Business Address
CANDICE GIBSON
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-344-5542
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Mailing Address
CANDICE GIBSON
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-344-5542
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