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1275096323
NICOLE M JOHN
LAKE CHARLES, LA
NPI
1275096323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA 204515)
Enumeration Date
2019-04-07
Last Update Date
2023-02-17
Business Address
NICOLE M JOHN
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-493-9983
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Mailing Address
NICOLE M JOHN
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601-2641
Phone number: 337-515-1838
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