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1871167171
ZACHARY LEE
SHREVEPORT, LA
NPI
1871167171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
ZACHARY LEE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-1574
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Mailing Address
ZACHARY LEE
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-1574
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