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1033456223
MATTIE MANUEL
SHREVEPORT, LA
NPI
1033456223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2013-01-09
Last Update Date
2013-01-09
Business Address
-- MATTIE MANUEL
2701 STANBERRY DR APT 8
SHREVEPORT, LA 71118-3253
Phone number: 318-280-1073
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Mailing Address
-- MATTIE MANUEL
2701 STANBERRY DR APT 8
SHREVEPORT, LA 71118-3253
Phone number: 318-280-1073
Copy
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