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1174986244
JAQUITUA RUSSELL
BOSSIER CITY, LA
NPI
1174986244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-04-05
Last Update Date
2018-07-14
Business Address
Mrs. JAQUITUA RUSSELL
5005 LONGSTREET PL UNIT 1
BOSSIER CITY, LA 71112
Phone number: 714-929-6744
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Mailing Address
Mrs. JAQUITUA RUSSELL
5005 LONGSTREET PL UNIT 1
BOSSIER CITY, LA 71112-4714
Phone number:
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