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1124760301
SHANTELL NICOLE DUGAS
LAFAYETTE, LA
NPI
1124760301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 224318)
Enumeration Date
2022-04-08
Last Update Date
2022-04-08
Business Address
SHANTELL NICOLE DUGAS APRN
3103 E SIMCOE ST
LAFAYETTE, LA 70501-6534
Phone number: 337-255-3124
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Mailing Address
SHANTELL NICOLE DUGAS APRN
3103 E SIMCOE ST
LAFAYETTE, LA 70501-6534
Phone number: 337-255-3124
Copy
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