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1053031724
JACQUELINE KENNEDY
SHREVEPORT, LA
NPI
1053031724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
JACQUELINE KENNEDY
6929 LAVENDER ST
SHREVEPORT, LA 71109-8335
Phone number: 318-946-7286
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Mailing Address
JACQUELINE KENNEDY
6929 LAVENDER ST
SHREVEPORT, LA 71109-8335
Phone number:
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