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1255812160
KEYOTA ANDREA RUSSELL
METAIRIE, LA
NPI
1255812160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 0083422717)
Enumeration Date
2018-08-28
Last Update Date
2018-09-05
Business Address
KEYOTA ANDREA RUSSELL
2408 HOUMA BLVD APT 315
METAIRIE, LA 70001
Phone number: 504-261-2811
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Mailing Address
KEYOTA ANDREA RUSSELL
7001 BUNDY RD APT R10
NEW ORLEANS, LA 70127-2173
Phone number: 504-261-2811
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