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1841994100
SHUNDARRIUS LAMON BALLARD
BASTROP, LA
NPI
1841994100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
SHUNDARRIUS LAMON BALLARD
626 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-2325
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Mailing Address
SHUNDARRIUS LAMON BALLARD
1204 STUBBS AVE STE B
MONROE, LA 71201-5631
Phone number: 318-582-5633
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