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1558995035
SAMUEL HENDRICKS
BOSSIER CITY, LA
NPI
1558995035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-02-24
Last Update Date
2020-02-24
Business Address
Mr. SAMUEL HENDRICKS
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-584-7166
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Mailing Address
Mr. SAMUEL HENDRICKS
3625 YOUREE DR
SHREVEPORT, LA 71105-2121
Phone number:
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