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1114474327
DAMINICA RICHARD
SHREVEPORT, LA
NPI
1114474327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2016-09-06
Last Update Date
2016-09-06
Business Address
-- DAMINICA RICHARD
1600 SEVERINE CIR
SHREVEPORT, LA 71108-3022
Phone number: 832-257-0646
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Mailing Address
-- DAMINICA RICHARD
1600 SEVERINE CIR
SHREVEPORT, LA 71108-3022
Phone number: 832-257-0646
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