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1639834369
JALISA MARVETTE FRAZIER
SHREVEPORT, LA
NPI
1639834369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2021-11-08
Last Update Date
2021-11-08
Business Address
JALISA MARVETTE FRAZIER
3537 LILLIAN ST
SHREVEPORT, LA 71109-2528
Phone number: 318-693-5072
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Mailing Address
JALISA MARVETTE FRAZIER
3537 LILLIAN ST
SHREVEPORT, LA 71109-2528
Phone number: 318-693-5072
Copy
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