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1114604287
SHAY NICOLE POWELL
HAMMOND, LA
NPI
1114604287
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: LA 202140)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
SHAY NICOLE POWELL APRN
157090 PAUL VEGA MD DR
HAMMOND, LA 70403
Phone number: 985-345-2700
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Mailing Address
SHAY NICOLE POWELL APRN
16070 DOCTORS BLVD
HAMMOND, LA 70403-1478
Phone number:
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