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1467994517
IZELRAY TAYLOR
SHREVEPORT, LA
NPI
1467994517
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-07
Last Update Date
2019-06-12
Business Address
IZELRAY TAYLOR
200 N THOMAS DR 1A
SHREVEPORT, LA 71107-6503
Phone number: 318-424-8345
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Mailing Address
IZELRAY TAYLOR
200 N THOMAS DR 1A
SHREVEPORT, LA 71107-6503
Phone number: 318-424-8345
Copy
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