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1104560218
MACKENZIE LATOUR
SHREVEPORT, LA
NPI
1104560218
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Former Name
MACKENZIE NOONAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-25
Last Update Date
2022-06-29
Business Address
MACKENZIE LATOUR
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6262
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Mailing Address
MACKENZIE LATOUR
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number:
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