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1659984391
MAURICE JAMAL JEFFERSON
SHREVEPORT, LA
NPI
1659984391
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Additional Taxonomies
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-08-24
Last Update Date
2020-08-24
Business Address
Mr. MAURICE JAMAL JEFFERSON
542 COLUMBIA ST APT 3
SHREVEPORT, LA 71104-3260
Phone number: 318-458-8045
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Mailing Address
Mr. MAURICE JAMAL JEFFERSON
542 COLUMBIA ST APT 3
SHREVEPORT, LA 71104-3260
Phone number: 318-458-8045
Copy
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