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1679045843
BRASHAUN CORNELIUS
SHREVEPORT, LA
NPI
1679045843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-27
Last Update Date
2018-12-27
Business Address
BRASHAUN CORNELIUS
3939 LINWOOD AVE
SHREVEPORT, LA 71108-2415
Phone number: 318-868-3093
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Mailing Address
BRASHAUN CORNELIUS
3939 LINWOOD AVE
SHREVEPORT, LA 71108-2415
Phone number:
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