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1770031007
JACOBI CORRELL DAVIS
SHREVEPORT, LA
NPI
1770031007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-15
Last Update Date
2016-09-15
Business Address
-- JACOBI CORRELL DAVIS MHS
7007 BOBTAIL DR
SHREVEPORT, LA 71129-3417
Phone number: 318-364-7766
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Mailing Address
-- JACOBI CORRELL DAVIS MHS
7007 BOBTAIL DR
SHREVEPORT, LA 71129-3417
Phone number: 318-364-7766
Copy
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