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1821115932
KENNY KALUBABARI MSIAKII
SHREVEPORT, LA
NPI
1821115932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
(Licence: LA COC0700223)
Enumeration Date
2007-03-23
Last Update Date
2007-11-29
Business Address
KENNY KALUBABARI MSIAKII
610 MARSHALL ST SUITE #501
SHREVEPORT, LA 71101-3784
Phone number: 318-222-6656
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Mailing Address
KENNY KALUBABARI MSIAKII
610 MARSHALL ST SUITE #501
SHREVEPORT, LA 71101-3784
Phone number: 318-222-6656
Copy
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