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1093283525
EROTICA PATRICE LUCKETT
ALEXANDRIA, LA
NPI
1093283525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 262458)
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
EROTICA PATRICE LUCKETT
4606 LEE ST
ALEXANDRIA, LA 71302-3235
Phone number: 318-441-1105
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Mailing Address
EROTICA PATRICE LUCKETT
4303 CORNEL DR
ALEXANDRIA, LA 71302-4106
Phone number:
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