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1669903472
SHANTIERIA RAY
SHREVEPORT, LA
NPI
1669903472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-23
Last Update Date
2021-11-04
Business Address
SHANTIERIA RAY
1513 LINE AVE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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Mailing Address
SHANTIERIA RAY
1513 LINE AVE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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