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1952975120
TALESHA ANTOINETTE SMITH
SHREVEPORT, LA
NPI
1952975120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-05-13
Last Update Date
2021-05-13
Business Address
TALESHA ANTOINETTE SMITH
7505 PINES RD STE 1115
SHREVEPORT, LA 71129-3900
Phone number: 318-683-4086
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Mailing Address
TALESHA ANTOINETTE SMITH
7505 PINES RD STE 1115
SHREVEPORT, LA 71129-3900
Phone number: 318-683-4086
Copy
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