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1194945360
REPUNDA MIMS BALL
SHREVEPORT, LA
NPI
1194945360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
372600000X Adult Companion
(Licence: LA 10737)
Enumeration Date
2007-04-27
Last Update Date
2007-07-09
Business Address
-- REPUNDA MIMS BALL
7505 PINES RD STE 1104
SHREVEPORT, LA 71129-3900
Phone number: 318-671-1772
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Mailing Address
-- REPUNDA MIMS BALL
7505 PINES RD STE.1104
SHREVEPORT, LA 71129
Phone number: 318-671-1772
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