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1033550918
DEIRDRE KIVETT SIMMONS
BASTROP, LA
NPI
1033550918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07410)
Enumeration Date
2013-07-08
Last Update Date
2024-07-15
Business Address
Mrs. DEIRDRE KIVETT SIMMONS NP-C
430 S VINE ST
BASTROP, LA 71220-4514
Phone number: 318-283-3970
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Mailing Address
Mrs. DEIRDRE KIVETT SIMMONS NP-C
PO BOX 293
BASTROP, LA 71221-0293
Phone number: 318-283-3623
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