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1710437868
ASANTRA GREEN
SHREVEPORT, LA
NPI
1710437868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-10-12
Last Update Date
2016-10-12
Business Address
-- ASANTRA GREEN
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-473-4328
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Mailing Address
-- ASANTRA GREEN
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number:
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