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1285773564
CARISSA M COLLUM
MONROE, LA
NPI
1285773564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 990718)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. CARISSA M COLLUM LPN
4800 S GRAND ST
MONROE, LA 71202-6412
Phone number: 318-362-3339
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Mailing Address
Mrs. CARISSA M COLLUM LPN
4800 S GRAND ST
MONROE, LA 71202-6412
Phone number: 318-362-3339
Copy
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