JEREMY PAUL PRIME

SHREVEPORT, LA
NPI1124325006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP06350)
Enumeration Date2011-02-11
Last Update Date2020-08-13
Business Address
JEREMY PAUL PRIME CRNA
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
JEREMY PAUL PRIME CRNA
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287
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