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THEODORE DALLAS

Case Manager/Care Coordinator

NPI: 1316425440Individual

Specialties, Licenses & Credentials

Case Manager/Care Coordinator

Code: 171M00000X

Contact & Hours

Address
1543 GRIMMETT DR
SHREVEPORT, LA 71107

Quick Facts

NPI
1316425440
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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