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1710686407
ANNETTE BOLDEN
SHREVEPORT, LA
NPI
1710686407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376J00000X Homemaker
(Licence: LA 30042)
Enumeration Date
2023-03-01
Last Update Date
2023-03-01
Business Address
ANNETTE BOLDEN
1545 LINE AVE STE 330A
SHREVEPORT, LA 71101-4600
Phone number: 318-409-9636
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Mailing Address
ANNETTE BOLDEN
1931 ASHTON ST
SHREVEPORT, LA 71103-2625
Phone number: 318-409-9636
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