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1891103552
MAXINE FRAZIER
SHREVEPORT, LA
NPI
1891103552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2014-07-25
Last Update Date
2014-07-25
Business Address
-- MAXINE FRAZIER
3806 CLAIBORNE AVE
SHREVEPORT, LA 71109-4404
Phone number: 318-572-0176
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Mailing Address
-- MAXINE FRAZIER
3806 CLAIBORNE AVE
SHREVEPORT, LA 71109-4404
Phone number:
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