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1780057190
LARRY TOWNER
SHREVEPORT, LA
NPI
1780057190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-11-06
Last Update Date
2018-07-18
Business Address
Mr. LARRY TOWNER
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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Mailing Address
Mr. LARRY TOWNER
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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