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1831546852
DAMITA BRASWELL
SHREVEPORT, LA
NPI
1831546852
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Entity Type
Organization
Authorized Contact
DAMITA WALKER BRASWELL
Counselor
318-834-1859
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
DAMITA BRASWELL
414 LAVITA DR
SHREVEPORT, LA 71106-7519
Phone number: 318-834-1859
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Mailing Address
DAMITA BRASWELL
414 LAVITA DR
SHREVEPORT, LA 71106-7519
Phone number: 318-834-1859
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