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1841016516
KATELYN WYATT PINE
SHREVEPORT, LA
NPI
1841016516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-11-27
Last Update Date
2024-11-27
Business Address
Mrs. KATELYN WYATT PINE BA
2100 E 70TH ST STE A
SHREVEPORT, LA 71105-5363
Phone number: 318-227-4999
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Mailing Address
Mrs. KATELYN WYATT PINE BA
1125 WINDHAM CT
BOSSIER CITY, LA 71112-3198
Phone number: 318-265-4155
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