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1174056808
LOUIS BROADWAY
SHREVEPORT, LA
NPI
1174056808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-04-10
Last Update Date
2017-04-10
Business Address
-- LOUIS BROADWAY
3936 GREENWOOD RD
SHREVEPORT, LA 71109-6409
Phone number: 318-636-6002
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Mailing Address
-- LOUIS BROADWAY
3936 GREENWOOD RD
SHREVEPORT, LA 71109-6409
Phone number: 318-636-6002
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