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1073016416
JACQUELINE LACHALLE WHITLOCK
DESOTO, TX
NPI
1073016416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 207692)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
Mrs. JACQUELINE LACHALLE WHITLOCK LVN
204 LARAMIE LN
DESOTO, TX 75115-5382
Phone number: 972-805-3571
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Mailing Address
Mrs. JACQUELINE LACHALLE WHITLOCK LVN
204 LARAMIE LN
DESOTO, TX 75115-5382
Phone number: 972-805-3571
Copy
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