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1508407891
JONATHAN CLINT PLATR
SHREVEPORT, LA
NPI
1508407891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
JONATHAN CLINT PLATR
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number: 318-673-9901
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Mailing Address
JONATHAN CLINT PLATR
543 STONER AVE
SHREVEPORT, LA 71101-4122
Phone number:
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