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1013632983
PATRICIA 71109 BURKS
SHREVEPORT, LA
NPI
1013632983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
PATRICIA 71109 BURKS
3209 DARIEN ST
SHREVEPORT, LA 71109-2608
Phone number: 318-349-1111
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Mailing Address
PATRICIA 71109 BURKS
3209 DARIEN ST
SHREVEPORT, LA 71109-2608
Phone number:
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