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1255826897
THRESA HARGRAVE
BOSSIER CITY, LA
NPI
1255826897
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Former Name
THRESA A MAREZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA AP10091)
Enumeration Date
2018-06-26
Last Update Date
2018-06-26
Business Address
THRESA HARGRAVE WHNP-BC
2120 AIRLINE DR
BOSSIER CITY, LA 71111-3106
Phone number: 318-688-3350
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Mailing Address
THRESA HARGRAVE WHNP-BC
4415 SWAN LAKE RD
BOSSIER CITY, LA 71111-6424
Phone number: 318-780-5189
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