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1740734573
KENWYN HUNTSBERRY
SHREVEPORT, LA
NPI
1740734573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-10
Last Update Date
2018-07-25
Business Address
KENWYN HUNTSBERRY
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104
Phone number: 318-742-3408
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Mailing Address
KENWYN HUNTSBERRY
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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