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1144993437
JENNIFER RENAE FORSTALL
COVINGTON, LA
NPI
1144993437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 221234)
Enumeration Date
2021-08-01
Last Update Date
2021-08-01
Business Address
JENNIFER RENAE FORSTALL FNP-BC
76343 EUGENE WALLACE RD
COVINGTON, LA 70435-6629
Phone number: 318-801-4028
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Mailing Address
JENNIFER RENAE FORSTALL FNP-BC
76343 EUGENE WALLACE RD
COVINGTON, LA 70435-6629
Phone number: 318-801-4028
Copy
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