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1578011755
CHARLES EVANS
RUSTON, LA
NPI
1578011755
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-09-15
Last Update Date
2018-11-30
Business Address
CHARLES EVANS
206 E REYNOLDS DR STE F
RUSTON, LA 71270-2873
Phone number: 318-254-7050
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Mailing Address
CHARLES EVANS
206 E REYNOLDS DR STE F
RUSTON, LA 71270-2873
Phone number: 318-254-7050
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