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1003027236
MELISSA MERICLE
SHREVEPORT, LA
NPI
1003027236
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA 109589)
Enumeration Date
2007-05-28
Last Update Date
2007-07-08
Business Address
-- MELISSA MERICLE
3434 JOHNETTE ST
SHREVEPORT, LA 71105-2028
Phone number: 318-868-7204
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Mailing Address
-- MELISSA MERICLE
3434 JOHNETTE ST
SHREVEPORT, LA 71105-2028
Phone number: 318-868-7204
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