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1760914071
BILLY GULLY
SHREVEPORT, LA
NPI
1760914071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2017-03-28
Last Update Date
2017-03-28
Business Address
-- BILLY GULLY
3201 KNIGHT ST APT 207
SHREVEPORT, LA 71105-2729
Phone number: 318-560-2732
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Mailing Address
-- BILLY GULLY
3201 KNIGHT ST APT 207
SHREVEPORT, LA 71105-2729
Phone number:
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