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1700375276
LATASHA JOHNSON
SHREVEPORT, LA
NPI
1700375276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-09
Last Update Date
2018-05-09
Business Address
LATASHA JOHNSON
3220 NEWMAN LN
SHREVEPORT, LA 71119-5318
Phone number: 318-638-4466
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Mailing Address
LATASHA JOHNSON
3220 NEWMAN LN
SHREVEPORT, LA 71119-5318
Phone number: 318-638-4466
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