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1861043879
SCHWONNA WILSON
SHREVEPORT, LA
NPI
1861043879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-23
Last Update Date
2019-09-23
Business Address
SCHWONNA WILSON
3820 CROSBY ST
SHREVEPORT, LA 71109-8014
Phone number: 318-762-1395
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Mailing Address
SCHWONNA WILSON
3820 CROSBY ST
SHREVEPORT, LA 71109-8014
Phone number: 318-762-1395
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