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1114466927
AN'TERRIA SPEED
SHREVEPORT, LA
NPI
1114466927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-02-14
Last Update Date
2019-11-05
Business Address
AN'TERRIA SPEED
9403 MANSFIELD RD
SHREVEPORT, LA 71118
Phone number: 318-861-8938
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Mailing Address
AN'TERRIA SPEED
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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