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1750860045
CHARLES FIELDING
SHREVEPORT, LA
NPI
1750860045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-08
Last Update Date
2018-11-06
Business Address
CHARLES FIELDING
2210 LINE AVE STE 207
SHREVEPORT, LA 71104-2134
Phone number: 318-675-1112
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Mailing Address
CHARLES FIELDING
2636 MIMOSA AVE
SHREVEPORT, LA 71108-4302
Phone number: 318-458-2483
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