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1205333622
REBECCA BULLARD EZELL
SLIDELL, LA
NPI
1205333622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP09916)
Enumeration Date
2018-04-11
Last Update Date
2018-04-11
Business Address
Mrs. REBECCA BULLARD EZELL FNP
1850 GAUSE BLVD E STE 101
SLIDELL, LA 70461-5454
Phone number: 985-639-3777
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Mailing Address
Mrs. REBECCA BULLARD EZELL FNP
1850 GAUSE BLVD E STE 101
SLIDELL, LA 70461-5454
Phone number:
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