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1164965315
DERRICK PARKER
SHREVEPORT, LA
NPI
1164965315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-11-21
Last Update Date
2018-05-23
Business Address
DERRICK PARKER
4019 GREENWOOD RD
SHREVEPORT, LA 71109
Phone number: 318-626-5462
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Mailing Address
DERRICK PARKER
4019 GREENWOOD RD
SHREVEPORT, LA 71109-6422
Phone number: 318-626-5462
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