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1811435357
CRYSTAL PEOPLES-MIMS
BOSSIER CITY, LA
NPI
1811435357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: LA 1891130084)
Enumeration Date
2017-02-04
Last Update Date
2017-02-04
Business Address
-- CRYSTAL PEOPLES-MIMS
844 ENTRADA
BOSSIER CITY, LA 71111-6274
Phone number: 318-572-4532
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Mailing Address
-- CRYSTAL PEOPLES-MIMS
844 ENTRADA
BOSSIER CITY, LA 71111-6274
Phone number: 318-572-4532
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