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1134149859
JOHN CHARLES CHARITY
SHREVEPORT, LA
NPI
1134149859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN071365)
Enumeration Date
2006-07-19
Last Update Date
2013-09-20
Business Address
-- JOHN CHARLES CHARITY NP-BC
503 BROADMOOR BLVD
SHREVEPORT, LA 71105-2023
Phone number: 318-868-7537
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Mailing Address
-- JOHN CHARLES CHARITY NP-BC
503 BROADMOOR BLVD
SHREVEPORT, LA 71105-2023
Phone number: 318-868-7537
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