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1699331694
JACQUELYN RANAE ROBERSON
SHREVEPORT, LA
NPI
1699331694
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Former Name
JACQUELYN RANAE STEPHENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20170350)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
Mrs. JACQUELYN RANAE ROBERSON LPN
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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Mailing Address
Mrs. JACQUELYN RANAE ROBERSON LPN
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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