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1396363123
GRAFTON LATRON TUCKER
SHREVEPORT, LA
NPI
1396363123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
Mr. GRAFTON LATRON TUCKER
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
Mr. GRAFTON LATRON TUCKER
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Copy
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