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1003374984
BLAKE BUTLER
SHREVEPORT, LA
NPI
1003374984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-03-09
Last Update Date
2019-03-09
Business Address
BLAKE BUTLER
1513 LINE AVENUE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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Mailing Address
BLAKE BUTLER
1513 LINE AVENUE SUITE 225
SHREVEPORT, LA 71101
Phone number: 318-754-3890
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