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1780339481
CELESTE MERRILL GAUTHIER TATUM
SHREVEPORT, LA
NPI
1780339481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-21
Last Update Date
2022-02-21
Business Address
CELESTE MERRILL GAUTHIER TATUM
3003 KNIGHT ST STE 115
SHREVEPORT, LA 71105-2561
Phone number: 318-227-8390
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Mailing Address
CELESTE MERRILL GAUTHIER TATUM
10695 LONGFELLOW TRCE
SHREVEPORT, LA 71106-9363
Phone number: 318-560-8554
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