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1265203202
MICHAEL K'VON RIDGELL
SHREVEPORT, LA
NPI
1265203202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-01-09
Last Update Date
2024-01-09
Business Address
MICHAEL K'VON RIDGELL
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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Mailing Address
MICHAEL K'VON RIDGELL
4 PAR LN
PINE BLUFF, AR 71603-8127
Phone number: 870-718-8669
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