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1881651586
JAYNE BEAUREGARD MACKEY
SHREVEPORT, LA
NPI
1881651586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 894)
Enumeration Date
2006-04-27
Last Update Date
2007-07-16
Business Address
Mrs. JAYNE BEAUREGARD MACKEY LDN, RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-424-6106
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Mailing Address
Mrs. JAYNE BEAUREGARD MACKEY LDN, RD
1426 W MARIA ST
BOSSIER CITY, LA 71112-3750
Phone number: 318-742-9179
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