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1043966898
NOAH ANDREW BUNTING
SHREVEPORT, LA
NPI
1043966898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-10898)
Enumeration Date
2022-03-01
Last Update Date
2022-03-01
Business Address
NOAH ANDREW BUNTING
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
NOAH ANDREW BUNTING
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number:
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