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1255819595
MYRA S VINCENT
LAKE CHARLES, LA
NPI
1255819595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN14968)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
MYRA S VINCENT
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number: 337-478-6020
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Mailing Address
MYRA S VINCENT
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number: 337-478-6020
Copy
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