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1285168724
DEANQUENETTE JOCKELIA MARDIS
FARMERVILLE, LA
NPI
1285168724
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
273Y00000X Rehabilitation Unit
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- DEANQUENETTE JOCKELIA MARDIS
1108 STERLINGTON HWY
FARMERVILLE, LA 71241-3812
Phone number: 318-368-9118
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Mailing Address
-- DEANQUENETTE JOCKELIA MARDIS
1108 STERLINGTON HWY
FARMERVILLE, LA 71241-3812
Phone number:
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