CLARENCE BURRIS

SHREVEPORT, LA
NPI1740786052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
CLARENCE BURRIS
719 EDWARDS ST APT 403
SHREVEPORT, LA 71101-3672
Phone number: 318-888-1960
Mailing Address
CLARENCE BURRIS
719 EDWARDS ST APT 403
SHREVEPORT, LA 71101-3672
Phone number:
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