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1134596877
ANGELA MCCORVEY
SHREVEPORT, LA
NPI
1134596877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP08504)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
-- ANGELA MCCORVEY
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6919
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Mailing Address
-- ANGELA MCCORVEY
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-6919
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