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1154015329
LAQUINTEN PETERSON
BASTROP, LA
NPI
1154015329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 229719)
Enumeration Date
2023-06-08
Last Update Date
2023-08-17
Business Address
LAQUINTEN PETERSON NP
323 W WALNUT AVE
BASTROP, LA 71220-4521
Phone number: 318-218-6077
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Mailing Address
LAQUINTEN PETERSON NP
PO BOX 293
BASTROP, LA 71221-0293
Phone number: 318-283-3910
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