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1255743530
CHARLES HARROLD
SHREVEPORT, LA
NPI
1255743530
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
(Licence: LA 00269798)
Enumeration Date
2014-05-21
Last Update Date
2014-05-21
Business Address
Mr. CHARLES HARROLD
2800 YOUREE DR STE 304
SHREVEPORT, LA 71104-3660
Phone number: 318-210-1967
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Mailing Address
Mr. CHARLES HARROLD
PO BOX 4532
SHREVEPORT, LA 71134-0532
Phone number: 318-210-1967
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