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1013669571
DEIRDRE MASHALE WRIGHT
SHREVEPORT, LA
NPI
1013669571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
Miss DEIRDRE MASHALE WRIGHT
410 GRAVOIS DR
SHREVEPORT, LA 71106-6902
Phone number: 318-505-1425
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Mailing Address
Miss DEIRDRE MASHALE WRIGHT
410 GRAVOIS DR
SHREVEPORT, LA 71106-6902
Phone number: 318-505-1425
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