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1720574452
BORIS BARTLEY
SHREVEPORT, LA
NPI
1720574452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-07-05
Last Update Date
2019-01-22
Business Address
BORIS BARTLEY
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
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Mailing Address
BORIS BARTLEY
3625 YOUREE DR
SHREVEPORT, LA 71105-2121
Phone number: 318-742-3408
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