ProviderBusinessMailingAddressFaxNumber = '3182100000'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1396208088 | ANDERSON | KULICIA | | | 2219 CLAIBORNE AVE | SHREVEPORT | LA | 711034301 |
| 1205410172 | HENDERSON | SHATERICA | JANAE | | 2219 CLAIBORNE AVE | SHREVEPORT | LA | 711034301 |
| 1528514924 | JEFFERSON | SHARON | DENISE | | 2219 CLAIBORNE AVE | SHREVEPORT | LA | 711034301 |
| 1730713587 | MAHONEY-CLARK | PEGGY | B | | 2219 CLAIBORNE AVE | SHREVEPORT | LA | 711034301 |
| 1679051957 | SIMPSON | TASHA | | | 4111 PINES RD UNIT 1 | SHREVEPORT | LA | 711197317 |
| 1073275244 | SMITH | HARMONY | | | 2219 CLAIBORNE AVE | SHREVEPORT | LA | 711034301 |
| 1770100851 | UKPABI | COURTNEY | | | 2219 CLAIBORNE AVE | SHREVEPORT | LA | 711034301 |
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