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1124577267
ETHEL DAVIS
SHREVEPORT, LA
NPI
1124577267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-30
Last Update Date
2016-09-30
Business Address
-- ETHEL DAVIS MHS
2744 ELMHURST ST
SHREVEPORT, LA 71108-4518
Phone number: 318-220-6626
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Mailing Address
-- ETHEL DAVIS MHS
2744 ELMHURST ST
SHREVEPORT, LA 71108-4518
Phone number: 318-220-6626
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