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1346720919
STANLEY BLACKSHIRE
SHREVEPORT, LA
NPI
1346720919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
STANLEY BLACKSHIRE
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
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Mailing Address
STANLEY BLACKSHIRE
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number:
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