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1285111930
CHENOA MADERE HAKUN
SHREVEPORT, LA
NPI
1285111930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: LA AP10173)
Enumeration Date
2018-07-25
Last Update Date
2021-07-16
Business Address
CHENOA MADERE HAKUN NP
2727 HEARNE AVE STE 301
SHREVEPORT, LA 71103-3918
Phone number: 318-631-6400
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Mailing Address
CHENOA MADERE HAKUN NP
2002 RAY AVE
BOSSIER CITY, LA 71112-4140
Phone number: 318-469-5042
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