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1235630047
FELICIA SULLIVAN
SHREVEPORT, LA
NPI
1235630047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20110506)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
FELICIA SULLIVAN LPN
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4197
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Mailing Address
FELICIA SULLIVAN LPN
3341 YOUREE DR STE 205
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4197
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