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1043563638
JESSICA T CARLSON
COVINGTON, LA
NPI
1043563638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: LA AP06955)
Enumeration Date
2012-10-19
Last Update Date
2012-11-06
Business Address
JESSICA T CARLSON NP
19343 SUNSHINE AVE
COVINGTON, LA 70433-8834
Phone number: 985-892-5125
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Mailing Address
JESSICA T CARLSON NP
19343 SUNSHINE AVE
COVINGTON, LA 70433-8834
Phone number: 985-892-5125
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