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1366279002
QUDARRIN JACOBS
TALLULAH, LA
NPI
1366279002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385H00000X Respite Care
(Licence: LA 770641488)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
QUDARRIN JACOBS
402 E CRAIG ST
TALLULAH, LA 71282-3718
Phone number: 318-574-9009
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Mailing Address
QUDARRIN JACOBS
402 E CRAIG ST
TALLULAH, LA 71282-3718
Phone number: 318-574-9009
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