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1699336388
DOMINIC WEBSTER
SHREVEPORT, LA
NPI
1699336388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
DOMINIC WEBSTER
9324 CASTLEBROOK DR
SHREVEPORT, LA 71129-4806
Phone number: 318-532-1627
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Mailing Address
DOMINIC WEBSTER
9324 CASTLEBROOK DR
SHREVEPORT, LA 71129-4806
Phone number: 318-532-1627
Copy
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