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1982198750
QUANERICK MILTON
SHREVEPORT, LA
NPI
1982198750
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-15
Last Update Date
2018-06-15
Business Address
QUANERICK MILTON
2800 YOUREE DR STE 120
SHREVEPORT, LA 71104-3667
Phone number: 318-671-4341
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Mailing Address
QUANERICK MILTON
719 BIANCA ST
HAUGHTON, LA 71037-8785
Phone number: 318-780-4053
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