RUSSELL IRBY

SHREVEPORT, LA
NPI1760092050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-08-03
Last Update Date2022-06-09
Business Address
RUSSELL IRBY
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
Mailing Address
RUSSELL IRBY
458 HERNDON ST
SHREVEPORT, LA 71101-4859
Phone number: 318-429-6938
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