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1013358530
DEIDRE ALLEN BOULTS
BATON ROUGE, LA
NPI
1013358530
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Former Name
DEIDRE MARSHA ALLEN BOSLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07286)
Enumeration Date
2013-07-12
Last Update Date
2019-06-27
Business Address
Ms. DEIDRE ALLEN BOULTS FNP-C
5360 HIGHLAND RD
BATON ROUGE, LA 70808-6548
Phone number: 225-757-1023
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Mailing Address
Ms. DEIDRE ALLEN BOULTS FNP-C
5360 HIGHLAND RD
BATON ROUGE, LA 70808-6548
Phone number: 225-757-1023
Copy
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