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1366114969
MALIK ANDRUS
SHREVEPORT, LA
NPI
1366114969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-01
Last Update Date
2022-03-09
Business Address
MALIK ANDRUS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
MALIK ANDRUS
713 E GORDON STREET
WASHINGTON, LA 70589
Phone number:
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