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 Date2024-04-12
Business Address
DUSTIN ROSS CARLISLE NP-C
1800 BUCKNER ST STE C120
SHREVEPORT, LA 71101-4453
Phone number: 318-227-8899
Mailing Address
DUSTIN ROSS CARLISLE NP-C
1800 BUCKNER ST STE C120
SHREVEPORT, LA 71101-4453
Phone number: 318-773-7202
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