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1154801926
MARILYN GLOVER LATIN
SHREVEPORT, LA
NPI
1154801926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP10019)
Enumeration Date
2018-08-20
Last Update Date
2018-08-20
Business Address
MARILYN GLOVER LATIN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-4041
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Mailing Address
MARILYN GLOVER LATIN
354 DIANE LN
STONEWALL, LA 71078-9653
Phone number:
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