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1861196313
JAMES GREEN
SHREVEPORT, LA
NPI
1861196313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: LA R-13618)
Enumeration Date
2023-03-29
Last Update Date
2024-10-16
Business Address
JAMES GREEN
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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Mailing Address
JAMES GREEN
2522 E 70TH ST
SHREVEPORT, LA 71105-4002
Phone number: 318-795-3388
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