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1992284319
LEDARRIUS MOORE
BOSSIER CITY, LA
NPI
1992284319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-07
Last Update Date
2018-08-07
Business Address
LEDARRIUS MOORE
2285 BENTON RD STE D103
BOSSIER CITY, LA 71111-3465
Phone number: 318-587-7197
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Mailing Address
LEDARRIUS MOORE
2285 BENTON RD STE D103
BOSSIER CITY, LA 71111-3465
Phone number:
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