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1710463575
LAKEISHA SMALL
DALLAS, TX
NPI
1710463575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 212452)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
LAKEISHA SMALL LVN
12645 HALLUM ST
DALLAS, TX 75243-1857
Phone number: 972-748-6206
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Mailing Address
LAKEISHA SMALL LVN
12645 HALLUM ST
DALLAS, TX 75243-1857
Phone number: 972-748-6206
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