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1831774116
BRANDY WILLIS
SHREVEPORT, LA
NPI
1831774116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
BRANDY WILLIS
3929 BAXTER ST
SHREVEPORT, LA 71109-7431
Phone number: 318-207-4012
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Mailing Address
BRANDY WILLIS
3929 BAXTER ST
SHREVEPORT, LA 71109-7431
Phone number: 318-207-4012
Copy
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