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Individual

JASMINE FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Mailing address
2911 CAMERON ST, MONROE, LA 71201-3713
(318) 651-9363

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171M0000X
LA
Enumeration date
07/17/2018
Last updated
12/20/2021
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