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1982262150
JENNIFER WHITEHURST
SHREVEPORT, LA
NPI
1982262150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
JENNIFER WHITEHURST
3140 SANDRA DR
SHREVEPORT, LA 71119-3710
Phone number: 318-771-2718
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Mailing Address
JENNIFER WHITEHURST
3140 SANDRA DR
SHREVEPORT, LA 71119-3710
Phone number: 318-771-2718
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