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1386001303
ROBERT LANE
SHREVEPORT, LA
NPI
1386001303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-01-21
Last Update Date
2016-01-21
Business Address
-- ROBERT LANE
2525 YOUREE DR
SHREVEPORT, LA 71104-3671
Phone number: 318-742-3408
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Mailing Address
-- ROBERT LANE
2525 YOUREE DR
SHREVEPORT, LA 71104-3671
Phone number: 318-742-3408
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