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1174344998
ANTERRICA GWENA' MYLES
SHREVEPORT, LA
NPI
1174344998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: LA 237401)
Enumeration Date
2024-10-23
Last Update Date
2024-10-28
Business Address
ANTERRICA GWENA' MYLES
1800 BUCKNER ST STE A206
SHREVEPORT, LA 71101-4438
Phone number: 318-678-8801
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Mailing Address
ANTERRICA GWENA' MYLES
1088 FRONTAGE RD
MINDEN, LA 71055-7861
Phone number: 318-588-2147
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