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1245725837
NICHOLAS RYAN BOONE
BATON ROUGE, LA
NPI
1245725837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP09996)
Enumeration Date
2018-06-26
Last Update Date
2021-01-18
Business Address
Mr. NICHOLAS RYAN BOONE NP
5439 AIRLINE HWY
BATON ROUGE, LA 70805-1712
Phone number: 225-358-4853
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Mailing Address
Mr. NICHOLAS RYAN BOONE NP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0001
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