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1639953425
JESSIAH BAUSLEY
SHREVEPORT, LA
NPI
1639953425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-22
Last Update Date
2023-08-22
Business Address
JESSIAH BAUSLEY
1513 LINE AVE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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Mailing Address
JESSIAH BAUSLEY
1513 LINE AVE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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