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1346727229
BRANDON ROY MOSES
SHREVEPORT, LA
NPI
1346727229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA A827257)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
BRANDON ROY MOSES
4420 GREENWOOD RD
SHREVEPORT, LA 71109-5612
Phone number: 318-220-8714
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Mailing Address
BRANDON ROY MOSES
4420 GREENWOOD RD
SHREVEPORT, LA 71109-5612
Phone number: 318-220-8714
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