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1780032359
ANNIE WELLS
SHREVEPORT, LA
NPI
1780032359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171WV0202X Contractor, Vehicle Modifications
(Licence: LA 002803974)
Enumeration Date
2016-05-24
Last Update Date
2016-05-24
Business Address
Mrs. ANNIE WELLS
3113 MOORE STATION RD
SHREVEPORT, LA 71108-5043
Phone number: 318-423-4561
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Mailing Address
Mrs. ANNIE WELLS
3113 MOORE STATION RD
SHREVEPORT, LA 71108-5043
Phone number: 318-423-4561
Copy
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