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1164055158
TAJUANIA SHANETTE BOONE
SHREVEPORT, LA
NPI
1164055158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-02-18
Last Update Date
2020-02-20
Business Address
TAJUANIA SHANETTE BOONE
1143 MCKINLEY AVE
SHREVEPORT, LA 71107-6605
Phone number: 318-426-0469
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Mailing Address
TAJUANIA SHANETTE BOONE
3809 OAKCREST ST
SHREVEPORT, LA 71109-4730
Phone number: 318-426-0469
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