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1740786052
CLARENCE BURRIS
SHREVEPORT, LA
NPI
1740786052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
CLARENCE BURRIS
719 EDWARDS ST APT 403
SHREVEPORT, LA 71101-3672
Phone number: 318-888-1960
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Mailing Address
CLARENCE BURRIS
719 EDWARDS ST APT 403
SHREVEPORT, LA 71101-3672
Phone number:
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