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1770269193
KEMBAL NICOLE THOMAS
SHREVEPORT, LA
NPI
1770269193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-22
Last Update Date
2023-06-22
Business Address
Mrs. KEMBAL NICOLE THOMAS
2100 E 70TH ST
SHREVEPORT, LA 71105-5363
Phone number: 318-227-4999
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Mailing Address
Mrs. KEMBAL NICOLE THOMAS
966 HIGHWAY 171
STONEWALL, LA 71078-9594
Phone number: 318-489-0866
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