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1992320006
SHANNON DANIELLE BANDA
BATON ROUGE, LA
NPI
1992320006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
SHANNON DANIELLE BANDA
411 COLONIAL DR
BATON ROUGE, LA 70806-6506
Phone number: 225-926-9706
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Mailing Address
SHANNON DANIELLE BANDA
411 COLONIAL DR
BATON ROUGE, LA 70806-6506
Phone number: 225-926-9706
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