JACOB WADE FUNDERBURK

SHREVEPORT, LA
NPI1639749617
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-06-30
Last Update Date2021-06-30
Business Address
JACOB WADE FUNDERBURK PLPC
6240 GREENWOOD RD
SHREVEPORT, LA 71119-8413
Phone number: 318-562-6320
Mailing Address
JACOB WADE FUNDERBURK PLPC
652 PROSPECT ST
SHREVEPORT, LA 71104-3124
Phone number: 318-508-1301
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