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1073352324
JACQUELYN MOREAU INGRAM
JEFFERSON, LA
NPI
1073352324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 234701)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
JACQUELYN MOREAU INGRAM
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 504-842-3011
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Mailing Address
JACQUELYN MOREAU INGRAM
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number:
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