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1922540244
JOHNESSA WILCOX
SHREVEPORT, LA
NPI
1922540244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-17
Last Update Date
2018-12-19
Business Address
JOHNESSA WILCOX
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number: 318-226-9944
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Mailing Address
JOHNESSA WILCOX
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number:
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