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1700390044
KIESHA G BUCKLEY
PRAIRIEVILLE, LA
NPI
1700390044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: LA 007484453)
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
Mrs. KIESHA G BUCKLEY
18439 MAGNOLIA EST
PRAIRIEVILLE, LA 70769-3204
Phone number: 225-268-7024
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Mailing Address
Mrs. KIESHA G BUCKLEY
18439 MAGNOLIA EST
PRAIRIEVILLE, LA 70769-3204
Phone number: 225-268-7024
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