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1124764964
REACH FOR RECOVERY
BOSSIER CITY, LA
NPI
1124764964
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Entity Type
Organization
Authorized Contact
TIA DESHAUN THOMAS
Owner
318-317-1238
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2022-05-05
Last Update Date
2023-07-06
Business Address
REACH FOR RECOVERY
1701 OLD MINDEN RD STE 17F
BOSSIER CITY, LA 71111-4804
Phone number: 318-317-1238
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Mailing Address
REACH FOR RECOVERY
1701 OLD MINDEN RD STE 17F
BOSSIER CITY, LA 71111-4804
Phone number: 318-317-1238
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