RANDY GERARD BORDELON

SHREVEPORT, LA
NPI1891848008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
MR. RANDY GERARD BORDELON
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5103
Mailing Address
MR. RANDY GERARD BORDELON
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5103
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