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1982077343
DONNELL M THOMAS
SHREVEPORT, LA
NPI
1982077343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-07
Last Update Date
2018-05-23
Business Address
DONNELL M THOMAS
1324 CAMILLE ST
SHREVEPORT, LA 71108
Phone number: 318-286-0269
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Mailing Address
DONNELL M THOMAS
PO BOX 8060
SHREVEPORT, LA 71148-8060
Phone number: 318-286-0269
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