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1164101341
KALEB SHERMAN SHORTER
SHREVEPORT, LA
NPI
1164101341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
KALEB SHERMAN SHORTER
6628 SANTA MONICA BLVD
SHREVEPORT, LA 71119-7113
Phone number: 318-658-0056
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Mailing Address
KALEB SHERMAN SHORTER
6628 SANTA MONICA BLVD
SHREVEPORT, LA 71119-7113
Phone number: 318-658-0056
Copy
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