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1326410143
JEREMY MARTIN
NATCHITOCHES, LA
NPI
1326410143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- JEREMY MARTIN
114 ROYAL ST.
NATCHITOCHES, LA 71457
Phone number: 318-527-6671
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Mailing Address
-- JEREMY MARTIN
1717 MARSHALL ST
SHREVEPORT, LA 71101
Phone number: 318-527-6671
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