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1790088706
FELICIA LATRECE TAYLOR
SHREVEPORT, LA
NPI
1790088706
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Former Name
FELICIA LATRECE MOSES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1096)
Enumeration Date
2010-12-13
Last Update Date
2010-12-14
Business Address
-- FELICIA LATRECE TAYLOR RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
-- FELICIA LATRECE TAYLOR RD
PO BOX 6363
SHREVEPORT, LA 71136-6363
Phone number: 318-773-4587
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