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1598117624
CALVIN BEANER
SHREVEPORT, LA
NPI
1598117624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-07-13
Last Update Date
2016-08-19
Business Address
-- CALVIN BEANER
3936 GREENWOOD RD
SHREVEPORT, LA 71109-6409
Phone number: 318-470-0096
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Mailing Address
-- CALVIN BEANER
3936 GREENWOOD RD
SHREVEPORT, LA 71109-6409
Phone number: 318-470-0096
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