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1316658438
EQUANIMITY MENTAL HEALTH & WELLNESS, LLC
SHREVEPORT, LA
NPI
1316658438
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Entity Type
Organization
Authorized Contact
LARRY DAVID ALLAN
Owner
318-313-2944
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-12-09
Last Update Date
2022-12-13
Business Address
EQUANIMITY MENTAL HEALTH & WELLNESS, LLC
2000 CRESWELL AVE
SHREVEPORT, LA 71104-2202
Phone number: 318-313-2944
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Mailing Address
EQUANIMITY MENTAL HEALTH & WELLNESS, LLC
1136 ISLAND PARK BLVD
SHREVEPORT, LA 71105-4737
Phone number: 318-313-2944
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