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1770223554
RAY FREDERICK
SHREVEPORT, LA
NPI
1770223554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
RAY FREDERICK
6009 FINANCIAL PLZ STE 101
SHREVEPORT, LA 71129-2615
Phone number: 318-221-2566
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Mailing Address
RAY FREDERICK
6009 FINANCIAL PLZ STE 101
SHREVEPORT, LA 71129-2615
Phone number: 318-221-2566
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