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1295246940
LASHATTE DEAQUANITA ALLEN
SHREVEPORT, LA
NPI
1295246940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-10-21
Last Update Date
2017-10-21
Business Address
LASHATTE DEAQUANITA ALLEN
9245 WALLACE LAKE RD
SHREVEPORT, LA 71106-7331
Phone number: 318-221-2828
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Mailing Address
LASHATTE DEAQUANITA ALLEN
PO BOX 349
STONEWALL, LA 71078-0349
Phone number:
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