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1104485010
CRYSTAL AMANDA WARD
CHALMETTE, LA
NPI
1104485010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA 202002)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
CRYSTAL AMANDA WARD FNP
8250 W JUDGE PEREZ DR
CHALMETTE, LA 70043-1612
Phone number: 504-279-5547
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Mailing Address
CRYSTAL AMANDA WARD FNP
59101 AMBER ST
SLIDELL, LA 70461-3708
Phone number: 985-646-1580
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