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1972086254
MIYAKO LEE
SHREVEPORT, LA
NPI
1972086254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
MIYAKO LEE
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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Mailing Address
MIYAKO LEE
6816 WASHINGTON LN
SHREVEPORT, LA 71119-8122
Phone number:
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