Individual
DEHKOBE DEBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 FREESTATE BLVD STE A, SHREVEPORT, LA 71107-6549
(318) 226-5990
Mailing address
151 FREESTATE BLVD STE A, SHREVEPORT, LA 71107-6549
(318) 226-5990
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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