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1275829566
EVA LOIS ULLOM
DERIDDER, LA
NPI
1275829566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP06502)
Enumeration Date
2011-06-24
Last Update Date
2011-06-24
Business Address
-- EVA LOIS ULLOM RN, FNP-C
325 W 8TH ST
DERIDDER, LA 70634-5505
Phone number: 337-463-3387
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Mailing Address
-- EVA LOIS ULLOM RN, FNP-C
2186 BALL RD
DERIDDER, LA 70634-6656
Phone number: 337-463-3766
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