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1912640657
LATEISHA T DOUGLAS
SHREVEPORT, LA
NPI
1912640657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
LATEISHA T DOUGLAS
3045 HOYTE DR
SHREVEPORT, LA 71118-2407
Phone number: 318-344-4999
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Mailing Address
LATEISHA T DOUGLAS
3045 HOYTE DR
SHREVEPORT, LA 71118-2407
Phone number: 318-344-4999
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