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1043087075
JAWUN JILES
SHREVEPORT, LA
NPI
1043087075
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: LA 207210)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
JAWUN JILES
3860 GREENWAY PL
SHREVEPORT, LA 71105-2016
Phone number: 318-564-4197
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Mailing Address
JAWUN JILES
3860 GREENWAY PL
SHREVEPORT, LA 71105-2016
Phone number: 318-564-4197
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