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1821560269
REBECCA GILLIAM
SHREVEPORT, LA
NPI
1821560269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-12-26
Last Update Date
2018-12-26
Business Address
REBECCA GILLIAM
8921 MANSFIELD RD
SHREVEPORT, LA 71118-2144
Phone number: 318-626-7143
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Mailing Address
REBECCA GILLIAM
8921 MANSFIELD RD
SHREVEPORT, LA 71118-2144
Phone number: 318-626-7143
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