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1801369897
KENYA SHANTELL MAESHACK
SHREVEPORT, LA
NPI
1801369897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
KENYA SHANTELL MAESHACK
7505 PINES RD STE 1104
SHREVEPORT, LA 71129-3900
Phone number: 318-670-8313
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Mailing Address
KENYA SHANTELL MAESHACK
8120 CARDIGAN WAY
SHREVEPORT, LA 71129-4903
Phone number: 318-294-1594
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