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1255921672
JASON COLBY EWERT
SHREVEPORT, LA
NPI
1255921672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-20
Last Update Date
2021-01-20
Business Address
JASON COLBY EWERT
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-429-6938
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Mailing Address
JASON COLBY EWERT
856 TEXAS AVE
SHREVEPORT, LA 71101-3400
Phone number: 318-429-6938
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