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1013666841
BEVERLY KRUISE
SHREVEPORT, LA
NPI
1013666841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: LA RN157206)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
BEVERLY KRUISE Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
BEVERLY KRUISE Registered Nurse
105 HUNTER XING APT 105
BOSSIER CITY, LA 71111-8125
Phone number: 318-349-1635
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