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1962184572
GARY CLEMENTS
SHREVEPORT, LA
NPI
1962184572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
GARY CLEMENTS
2210 LINE AVE STE 207
SHREVEPORT, LA 71104-2134
Phone number: 318-675-1112
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Mailing Address
GARY CLEMENTS
2210 LINE AVE STE 207
SHREVEPORT, LA 71104-2134
Phone number: 318-675-1112
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