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1205374097
JEAN MOORE
SHREVEPORT, LA
NPI
1205374097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20160859)
Enumeration Date
2017-02-01
Last Update Date
2017-02-01
Business Address
-- JEAN MOORE
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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Mailing Address
-- JEAN MOORE
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number:
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