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1396916680
MARCUS JEVON FULTON
SHREVEPORT, LA
NPI
1396916680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: LA B1595888)
Enumeration Date
2008-03-14
Last Update Date
2008-03-14
Business Address
-- MARCUS JEVON FULTON NREMT-B
964 WINTER GARDEN DR UNIT 1
SHREVEPORT, LA 71107-3129
Phone number: 318-221-0467
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Mailing Address
-- MARCUS JEVON FULTON NREMT-B
964 WINTER GARDEN DR UNIT 1
SHREVEPORT, LA 71107-3129
Phone number: 318-221-0467
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