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1275945479
LAQUESHA PORTER
WICHITA, KS
NPI
1275945479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: KS K02495467)
Enumeration Date
2014-05-22
Last Update Date
2016-02-01
Business Address
-- LAQUESHA PORTER
629 S BEVERLY DR
WICHITA, KS 67218-2505
Phone number: 316-803-8515
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Mailing Address
-- LAQUESHA PORTER
629 S BEVERLY DR
WICHITA, KS 67218-2505
Phone number: 316-803-8515
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