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1356107783
KENOSHA DESHANE SAMPSON
NORCO, LA
NPI
1356107783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
KENOSHA DESHANE SAMPSON RN
34 DIAMOND RD
NORCO, LA 70079-2055
Phone number: 504-296-2181
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Mailing Address
KENOSHA DESHANE SAMPSON RN
34 DIAMOND RD
NORCO, LA 70079-2055
Phone number: 504-296-2181
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