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1730078528
DYMOND WILSON
SHREVEPORT, LA
NPI
1730078528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 012563930)
Enumeration Date
2025-06-28
Last Update Date
2025-06-28
Business Address
DYMOND WILSON Bachelor's
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
DYMOND WILSON Bachelor's
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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