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1023461274
SAMUEL IGBINEDION
SHREVEPORT, LA
NPI
1023461274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-07-22
Last Update Date
2016-07-22
Business Address
-- SAMUEL IGBINEDION
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-813-2528
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Mailing Address
-- SAMUEL IGBINEDION
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number:
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