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1891338448
SUSAN L MAHANEY
SHREVEPORT, LA
NPI
1891338448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: FL 792677200)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
SUSAN L MAHANEY
9945 GREENTREE LN
SHREVEPORT, LA 71118-5218
Phone number: 318-344-6761
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Mailing Address
SUSAN L MAHANEY
9945 GREENTREE LN
SHREVEPORT, LA 71118-5218
Phone number: 318-344-6761
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