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1063480366
LAURA ANN IVY
SHREVEPORT, LA
NPI
1063480366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 884597)
Enumeration Date
2006-03-10
Last Update Date
2007-07-12
Business Address
-- LAURA ANN IVY LDN RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
-- LAURA ANN IVY LDN RD
4111 PINES RD
SHREVEPORT, LA 71119-7315
Phone number: 318-631-4109
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