TEQUILA LASHAUN SLOCUM

MADISON, AL
NPI1174724546
Former NameTEQUILA1 LASHAUN UPSHAW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
-- TEQUILA LASHAUN SLOCUM
9238 MADISON BLVD
MADISON, AL 35758-9100
Phone number: 256-774-8342
Mailing Address
-- TEQUILA LASHAUN SLOCUM
4443 MILLVALE DR SW
HUNTSVILLE, AL 35805-5617
Phone number: 404-751-7809
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