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1740723345
PATRICE BENNETT
SHREVEPORT, LA
NPI
1740723345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2016-11-30
Last Update Date
2016-11-30
Business Address
-- PATRICE BENNETT
3817 WOODROW AVE
SHREVEPORT, LA 71109-4435
Phone number: 318-507-5789
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Mailing Address
-- PATRICE BENNETT
3817 WOODROW AVE
SHREVEPORT, LA 71109-4435
Phone number:
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