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1689495350
JANIKLA JANTAVEIA COLEMAN
RUSTON, LA
NPI
1689495350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
JANIKLA JANTAVEIA COLEMAN
651 GARR RD
RUSTON, LA 71270-1145
Phone number: 318-278-0264
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Mailing Address
JANIKLA JANTAVEIA COLEMAN
3776 YOUREE DR
SHREVEPORT, LA 71105-2132
Phone number: 318-670-3159
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