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1922545789
JEREMY EDWIN PRYOR
SHREVEPORT, LA
NPI
1922545789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-01-31
Last Update Date
2022-06-22
Business Address
Mr. JEREMY EDWIN PRYOR
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
Mr. JEREMY EDWIN PRYOR
1534 YALE AVE
SHREVEPORT, LA 71103-2543
Phone number: 469-491-8825
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