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1073143269
TERRRY JABREIL PRATT
SHREVEPORT, LA
NPI
1073143269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 006625488)
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
TERRRY JABREIL PRATT
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
TERRRY JABREIL PRATT
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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