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1306023395
MARY E SEVERANCE
PINEVILLE, LA
NPI
1306023395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 800608)
Enumeration Date
2008-01-22
Last Update Date
2008-01-22
Business Address
-- MARY E SEVERANCE LPN2
242 SHAMROCK ST RED RIVER ADDICTIONS COMPLEX
PINEVILLE, LA 71306
Phone number: 318-484-6614
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Mailing Address
-- MARY E SEVERANCE LPN2
PO BOX 7118
ALEXANDRIA, LA 71306-0118
Phone number: 318-484-6614
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