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1821831793
SHAE M VINES
BOSSIER CITY, LA
NPI
1821831793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
SHAE M VINES
2285 BENTON RD STE D103
BOSSIER CITY, LA 71111-3465
Phone number: 318-584-7197
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Mailing Address
SHAE M VINES
2285 BENTON RD STE D103
BOSSIER CITY, LA 71111-3465
Phone number: 318-584-7197
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