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1255617296
BETHANY LONGINO SHIRLEY
SHREVEPORT, LA
NPI
1255617296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA RN112542-AP06651)
Enumeration Date
2011-10-21
Last Update Date
2024-03-08
Business Address
BETHANY LONGINO SHIRLEY APRN, NP-C
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5519
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Mailing Address
BETHANY LONGINO SHIRLEY APRN, NP-C
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number:
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