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1871108456
KENDRICK DEQUAN WHITE
BOSSIER CITY, LA
NPI
1871108456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
KENDRICK DEQUAN WHITE
2285 BENTON RD STE 202
BOSSIER CITY, LA 71111-7933
Phone number: 318-268-4608
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Mailing Address
KENDRICK DEQUAN WHITE
559 CHINQUIPIN DR
BOSSIER CITY, LA 71111-5176
Phone number: 318-268-4608
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