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1205373396
MARK SCROGGINS
SHREVEPORT, LA
NPI
1205373396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2017-01-26
Last Update Date
2017-01-26
Business Address
-- MARK SCROGGINS
5826 WESTRAY DR
SHREVEPORT, LA 71129-5131
Phone number: 318-773-3499
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Mailing Address
-- MARK SCROGGINS
5826 WESTRAY DR
SHREVEPORT, LA 71129-5131
Phone number: 318-773-3499
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