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1730843616
ANDREW ELLIS JUDLIN
SHREVEPORT, LA
NPI
1730843616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
ANDREW ELLIS JUDLIN
1519 CRESWELL AVE
SHREVEPORT, LA 71101-4774
Phone number: 318-869-1899
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Mailing Address
ANDREW ELLIS JUDLIN
3741 GREENWAY PL
SHREVEPORT, LA 71105-2013
Phone number:
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