DUSTIN ROSS CARLISLE

SHREVEPORT, LA
NPI1083467104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: LA  232197)
Enumeration Date2024-04-09
Last Update Date2024-11-05
Business Address
DUSTIN ROSS CARLISLE NP-C
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3858
Mailing Address
DUSTIN ROSS CARLISLE NP-C
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3858
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