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1154861771
ALLAN THOMAS
SHREVEPORT, LA
NPI
1154861771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-03-01
Last Update Date
2018-05-23
Business Address
ALLAN THOMAS
3205 LINDA ST
SHREVEPORT, LA 71119
Phone number: 318-840-5594
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Mailing Address
ALLAN THOMAS
3205 LINDA ST
SHREVEPORT, LA 71119-5207
Phone number: 318-840-5594
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