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1255056826
LAWONDA 71118 RUSSELL
SHREVEPORT, LA
NPI
1255056826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
LAWONDA 71118 RUSSELL
9511 OVERLOOK DR
SHREVEPORT, LA 71118-4118
Phone number: 318-200-7305
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Mailing Address
LAWONDA 71118 RUSSELL
9511 OVERLOOK DR
SHREVEPORT, LA 71118-4118
Phone number:
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