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1972246627
TANGANYIKA PETERSON
SHREVEPORT, LA
NPI
1972246627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
TANGANYIKA PETERSON
9312 CANA DR
SHREVEPORT, LA 71118-2808
Phone number: 318-470-0308
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Mailing Address
TANGANYIKA PETERSON
9312 CANA DR
SHREVEPORT, LA 71118-2808
Phone number: 318-470-0308
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