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1255843801
JENNIFER MICHELLE MIDDLETON
SHREVEPORT, LA
NPI
1255843801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: LA AG07170253)
Enumeration Date
2017-11-03
Last Update Date
2017-11-03
Business Address
Mrs. JENNIFER MICHELLE MIDDLETON NP
7505 PINES RD STE 1235
SHREVEPORT, LA 71129-3900
Phone number: 225-932-9150
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Mailing Address
Mrs. JENNIFER MICHELLE MIDDLETON NP
6900 BUNCOMBE RD LOT 61
SHREVEPORT, LA 71129-9496
Phone number: 318-834-8187
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