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1467954909
STAUGHTON JENNINGS
SHREVEPORT, LA
NPI
1467954909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
STAUGHTON JENNINGS
8501 MILLICENT WAY APT 1085
SHREVEPORT, LA 71115-2231
Phone number: 318-424-8735
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Mailing Address
STAUGHTON JENNINGS
8501 MILLICENT WAY APT 1085
SHREVEPORT, LA 71115-2231
Phone number:
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