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1790156321
ROBERT MORAN
SHREVEPORT, LA
NPI
1790156321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2015-10-08
Last Update Date
2018-05-17
Business Address
ROBERT MORAN
1513 LINE AVE STE 315
SHREVEPORT, LA 71101
Phone number: 318-221-2828
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Mailing Address
ROBERT MORAN
1513 LINE AVE STE 315
SHREVEPORT, LA 71101-4621
Phone number: 318-221-2828
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