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1174914626
GARETT R ISTRE
LAKE CHARLES, LA
NPI
1174914626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08181)
Enumeration Date
2015-02-05
Last Update Date
2015-06-04
Business Address
-- GARETT R ISTRE N.P.
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605-5362
Phone number: 337-721-7236
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Mailing Address
-- GARETT R ISTRE N.P.
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8360
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