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1992166375
JENIFER BLACKMORE
LEESVILLE, LA
NPI
1992166375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-03-14
Last Update Date
2016-03-14
Business Address
-- JENIFER BLACKMORE
1808 S 5TH ST
LEESVILLE, LA 71446-5308
Phone number: 337-238-4350
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Mailing Address
-- JENIFER BLACKMORE
2525 YOUREE DR
SHREVEPORT, LA 71104-3671
Phone number: 318-605-0804
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