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1902663396
TIAQUA M COPELAND
SHREVEPORT, LA
NPI
1902663396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-03-01
Last Update Date
2024-03-01
Business Address
TIAQUA M COPELAND
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
TIAQUA M COPELAND
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number:
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