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1740985464
AUSET CHAMPION
SHREVEPORT, LA
NPI
1740985464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 010891842)
Enumeration Date
2023-04-03
Last Update Date
2023-06-02
Business Address
AUSET CHAMPION
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
AUSET CHAMPION
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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