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1053017053
JACQUELINE RAY
SHREVEPORT, LA
NPI
1053017053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 008564170)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
JACQUELINE RAY
4108 FOREST OAK DR
SHREVEPORT, LA 71109-8320
Phone number: 318-453-2855
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Mailing Address
JACQUELINE RAY
4108 FOREST OAK DR
SHREVEPORT, LA 71109-8320
Phone number: 318-453-2855
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