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1730652694
NETTIE WHITAKER
SHREVEPORT, LA
NPI
1730652694
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
NETTIE WHITAKER
7505 PINES RD STE 1104
SHREVEPORT, LA 71129-3900
Phone number: 318-670-8313
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Mailing Address
NETTIE WHITAKER
901 SUSAN ST
MANSFIELD, LA 71052-4311
Phone number: 318-461-1745
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