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1093466401
AMY BETHANY FAVALORA
KENNER, LA
NPI
1093466401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 223779)
Enumeration Date
2022-01-17
Last Update Date
2022-01-17
Business Address
AMY BETHANY FAVALORA FNP-C
200 W ESPLANADE AVE
KENNER, LA 70065-2489
Phone number: 985-804-5633
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Mailing Address
AMY BETHANY FAVALORA FNP-C
200 W ESPLANADE AVE
KENNER, LA 70065-2489
Phone number: 985-804-5633
Copy
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