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1174677744
LYDA CAROL GORE HIRCHAK
ALEXANDRIA, LA
NPI
1174677744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA AP02336)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
-- LYDA CAROL GORE HIRCHAK NP
3330 MASONIC DR
ALEXANDRIA, LA 71301-3841
Phone number: 318-487-1122
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Mailing Address
-- LYDA CAROL GORE HIRCHAK NP
402 HEYMAN LN
ALEXANDRIA, LA 71303-3433
Phone number: 318-445-1293
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