STEPHEN DANIEL SLACK

SHREVEPORT, LA
NPI1386141539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
Enumeration Date2018-04-12
Last Update Date2018-04-12
Business Address
STEPHEN DANIEL SLACK
458 W 61ST ST
SHREVEPORT, LA 71106-2511
Phone number: 318-510-1141
Mailing Address
STEPHEN DANIEL SLACK
458 W 61ST ST
SHREVEPORT, LA 71106-2511
Phone number: 318-510-1141
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