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1205565793
SHAWNA MARIE LONGORIA
SHREVEPORT, LA
NPI
1205565793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 200157)
Enumeration Date
2022-06-09
Last Update Date
2022-06-09
Business Address
SHAWNA MARIE LONGORIA FNP
1505 E BERT KOUN LOOP # 101
SHREVEPORT, LA 71105-5723
Phone number: 318-681-7480
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Mailing Address
SHAWNA MARIE LONGORIA FNP
179 FARRIS LN
FRIERSON, LA 71027-2060
Phone number: 318-347-6885
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