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1164155388
LATESHIA MORAN
LAFAYETTE, LA
NPI
1164155388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 226528)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
LATESHIA MORAN NP
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7991
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Mailing Address
LATESHIA MORAN NP
104 CHEVALIER BLVD
LAFAYETTE, LA 70503-6235
Phone number:
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