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1114557469
RODERICK YANCY
SHREVEPORT, LA
NPI
1114557469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
RODERICK YANCY
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-220-8423
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Mailing Address
RODERICK YANCY
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-220-8423
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