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1104577014
JACQUIA WELLS
GONZALES, LA
NPI
1104577014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: LA RN129923)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
JACQUIA WELLS
2106 S BURNSIDE AVE STE A
GONZALES, LA 70737-4672
Phone number: 225-954-8732
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Mailing Address
JACQUIA WELLS
2106 S BURNSIDE AVE STE A
GONZALES, LA 70737-4672
Phone number: 225-954-8732
Copy
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