Individual
MR. ROBERT EARL BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N/A
Contact information
Practice address
600 COMMON ST, SHREVEPORT, LA 71101-3432
(318) 425-6213
(318) 221-3750
Mailing address
PO BOX 80165, 600 COMMON ST, SHREVEPORT, LA 71148-0165
(318) 347-2208
(318) 221-3750
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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