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1013471929
REBECCA BRENNAN TADLOCK
BATON ROUGE, LA
NPI
1013471929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 203432)
Enumeration Date
2019-01-24
Last Update Date
2019-01-24
Business Address
REBECCA BRENNAN TADLOCK NP
12525 PERKINS RD STE B
BATON ROUGE, LA 70810-1907
Phone number: 225-819-8857
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Mailing Address
REBECCA BRENNAN TADLOCK NP
14015 A POIRRIER RD
GONZALES, LA 70737-7251
Phone number: 225-505-8282
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