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1023784824
LAKETRA RUTHERFORD
DALLAS, TX
NPI
1023784824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-08-20
Last Update Date
2021-08-20
Business Address
LAKETRA RUTHERFORD
8915 HARRY HINES BLVD
DALLAS, TX 75235-1717
Phone number: 314-686-2402
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Mailing Address
LAKETRA RUTHERFORD
8915 HARRY HINES BLVD
DALLAS, TX 75235-1717
Phone number: 314-686-2402
Copy
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