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1760224455
EVAN DEWAYNE DURDEN
SHREVEPORT, LA
NPI
1760224455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
EVAN DEWAYNE DURDEN
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
EVAN DEWAYNE DURDEN
6104 DONCASTER DR
SHREVEPORT, LA 71129-3918
Phone number: 318-751-3353
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