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1073526141
PERRY DUANE NICHOLS
SHREVEPORT, LA
NPI
1073526141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN076397-AP03519)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Mr. PERRY DUANE NICHOLS FNP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Mr. PERRY DUANE NICHOLS FNP
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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