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1730941576
MARISSA GARDNER
SHREVEPORT, LA
NPI
1730941576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
MARISSA GARDNER
1513 LINE AVE STE. 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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Mailing Address
MARISSA GARDNER
1513 LINE AVE STE. 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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