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1144571787
CAROLINA WAKINA HARRISON
SHREVEPORT, LA
NPI
1144571787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 009004761)
Enumeration Date
2012-09-22
Last Update Date
2012-09-22
Business Address
Miss CAROLINA WAKINA HARRISON
2857 FREDDIE ST
SHREVEPORT, LA 71107-4215
Phone number: 318-518-2811
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Mailing Address
Miss CAROLINA WAKINA HARRISON
2857 FREDDIE ST
SHREVEPORT, LA 71107-4215
Phone number: 318-518-2811
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