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1366945669
JOHN DANZELL
SHREVEPORT, LA
NPI
1366945669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-03-13
Last Update Date
2018-07-30
Business Address
JOHN DANZELL
404 HEARNE AVE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
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Mailing Address
JOHN DANZELL
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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