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1114495603
DEANGELO BROOKS
SHREVEPORT, LA
NPI
1114495603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-11-02
Last Update Date
2020-09-22
Business Address
DEANGELO BROOKS
1105 ISLAND PARK BLVD APT 1126
SHREVEPORT, LA 71105-4783
Phone number: 318-404-7134
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Mailing Address
DEANGELO BROOKS
5720 S LAKESHORE DR APT 605
SHREVEPORT, LA 71119-3930
Phone number: 318-404-7134
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