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1619634573
MARIO PARKS
SHREVEPORT, LA
NPI
1619634573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2021-11-25
Last Update Date
2021-11-25
Business Address
MARIO PARKS
1415 MURRAY LN
SHREVEPORT, LA 71109-1709
Phone number: 318-200-3657
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Mailing Address
MARIO PARKS
1415 MURRAY LN
SHREVEPORT, LA 71109-1709
Phone number: 318-200-3657
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