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1124273594
LAQUINTA HALEY
PORT ARTHUR, TX
NPI
1124273594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2008-11-25
Last Update Date
2008-11-25
Business Address
-- LAQUINTA HALEY
449 TRINITY AVE
PORT ARTHUR, TX 77642-1335
Phone number: 409-982-1154
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Mailing Address
-- LAQUINTA HALEY
PO BOX 46
PORT ARTHUR, TX 77641-0046
Phone number:
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