MARK KNACKSTEDT

SHREVEPORT, LA
NPI1285203521
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-22
Last Update Date2021-06-22
Business Address
MARK KNACKSTEDT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0564
Mailing Address
MARK KNACKSTEDT
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0564
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