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1114709060
ELLEN GRAPPE
SHREVEPORT, LA
NPI
1114709060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 211282)
Enumeration Date
2023-10-16
Last Update Date
2023-10-16
Business Address
Ms. ELLEN GRAPPE PMHNP-BC
1800 LINE AVE OFC 307
SHREVEPORT, LA 71101-4612
Phone number: 318-379-4488
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Mailing Address
Ms. ELLEN GRAPPE PMHNP-BC
1925 E 70TH ST # 52421
SHREVEPORT, LA 71105-0002
Phone number: 659-243-9091
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