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1275128258
DESIREE ALIS KAVANAUGH
HAMMOND, LA
NPI
1275128258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 280475)
Enumeration Date
2021-03-02
Last Update Date
2021-03-02
Business Address
Ms. DESIREE ALIS KAVANAUGH LPN
615 PRIDE DR
HAMMOND, LA 70401-9523
Phone number: 985-419-1666
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Mailing Address
Ms. DESIREE ALIS KAVANAUGH LPN
615 PRIDE DR
HAMMOND, LA 70401-9523
Phone number: 985-419-1666
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