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1629532460
RICKEY HARRIS
SHREVEPORT, LA
NPI
1629532460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-01-25
Last Update Date
2019-01-25
Business Address
RICKEY HARRIS
4111 METRO DR STE B
SHREVEPORT, LA 71109-6001
Phone number: 318-636-0391
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Mailing Address
RICKEY HARRIS
4111 METRO DR STE B
SHREVEPORT, LA 71109-6001
Phone number: 318-636-0391
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