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1649862004
AMANDA KAYLEIGH TUCKER
SHREVEPORT, LA
NPI
1649862004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
AMANDA KAYLEIGH TUCKER
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-429-6938
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Mailing Address
AMANDA KAYLEIGH TUCKER
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-429-6938
Copy
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