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1700468691
KIERRA DEGALE YOUNGBLOOD
SHREVEPORT, LA
NPI
1700468691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: LA RN-143657)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
KIERRA DEGALE YOUNGBLOOD
3650 LAKESIDE DR
SHREVEPORT, LA 71119-6516
Phone number: 318-771-4732
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Mailing Address
KIERRA DEGALE YOUNGBLOOD
1651 E 70TH ST # 264
SHREVEPORT, LA 71105-5115
Phone number: 318-771-4732
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