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1649508136
JEANETTE IRENE BUCKLEY
SHREVEPORT, LA
NPI
1649508136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: LA 5953)
Enumeration Date
2009-11-23
Last Update Date
2009-11-23
Business Address
JEANETTE IRENE BUCKLEY M.C.D.
223 RUSSELL AVE
SHREVEPORT, LA 71105-3527
Phone number: 318-868-1547
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Mailing Address
JEANETTE IRENE BUCKLEY M.C.D.
223 RUSSELL AVE
SHREVEPORT, LA 71105-3527
Phone number: 318-868-1547
Copy
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