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1023450533
RODERICK WAYNE STEPHENSON
SHREVEPORT, LA
NPI
1023450533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 008889044)
Enumeration Date
2013-07-25
Last Update Date
2015-08-26
Business Address
-- RODERICK WAYNE STEPHENSON
4806 5L WESTWOOD PARK DR
SHREVEPORT, LA 71109-6257
Phone number: 318-636-4444
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Mailing Address
-- RODERICK WAYNE STEPHENSON
4806 5L WESTWOOD PARK DR
SHREVEPORT, LA 71109-6257
Phone number: 318-636-4444
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