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1225538671
ANGELO MCALLISTER
SHREVEPORT, LA
NPI
1225538671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-12
Last Update Date
2018-09-28
Business Address
ANGELO MCALLISTER
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number: 318-626-5597
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Mailing Address
ANGELO MCALLISTER
1543 GRIMMETT DR
SHREVEPORT, LA 71107-6505
Phone number:
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