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1508501636
VERGENER JORDAN
BOSSIER CITY, LA
NPI
1508501636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
Ms. VERGENER JORDAN
5303 E TEXAS ST LOT 14
BOSSIER CITY, LA 71111-6947
Phone number: 318-510-5233
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Mailing Address
Ms. VERGENER JORDAN
5303 E TEXAS ST LOT 14
BOSSIER CITY, LA 71111-6947
Phone number: 318-510-5233
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