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1215547732
BRAD ROBERSON
SHREVEPORT, LA
NPI
1215547732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-10
Last Update Date
2021-10-27
Business Address
BRAD ROBERSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
BRAD ROBERSON
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-607-5428
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