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1356887632
ELIZABETH DAVIS
RUSTON, LA
NPI
1356887632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224900000X Mastectomy Fitter
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
Mrs. ELIZABETH DAVIS
804 N TRENTON ST
RUSTON, LA 71270-3326
Phone number: 318-254-0033
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Mailing Address
Mrs. ELIZABETH DAVIS
PO BOX 698
RUSTON, LA 71273-0698
Phone number: 318-254-0033
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