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1275282253
DOMINIQUE TAYLOR
SHREVEPORT, LA
NPI
1275282253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
Ms. DOMINIQUE TAYLOR
2605 BETTY ST
SHREVEPORT, LA 71108-5553
Phone number: 318-865-2311
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Mailing Address
Ms. DOMINIQUE TAYLOR
2605 BETTY ST
SHREVEPORT, LA 71108-5553
Phone number: 318-865-2311
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