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1548367014
MATTHEW JOSEPH TISBY
SHREVEPORT, LA
NPI
1548367014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP1600X Counselor, Pastoral
Enumeration Date
2006-09-19
Last Update Date
2007-07-08
Business Address
Mr. MATTHEW JOSEPH TISBY M. Div.
2437 ROY RD
SHREVEPORT, LA 71107
Phone number: 318-424-9584
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Mailing Address
Mr. MATTHEW JOSEPH TISBY M. Div.
2437 ROY RD
SHREVEPORT, LA 71107
Phone number: 318-424-9584
Copy
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