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1821607581
DOMINICK WILLIAMS
SHREVEPORT, LA
NPI
1821607581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-29
Last Update Date
2020-07-29
Business Address
DOMINICK WILLIAMS
1434 HAWN AVE STE 12
SHREVEPORT, LA 71107-6508
Phone number: 318-675-0224
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Mailing Address
DOMINICK WILLIAMS
1434 HAWN AVE STE 12
SHREVEPORT, LA 71107-6508
Phone number: 318-675-0224
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