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1497252928
ALEXA PHILLIPS
SHREVEPORT, LA
NPI
1497252928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
ALEXA PHILLIPS
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-2293
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Mailing Address
ALEXA PHILLIPS
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-2293
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