GERALD EDWARD SHOUSE

SHREVEPORT, LA
NPI1326815135
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: LA  211335)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
Mr. GERALD EDWARD SHOUSE
3454 VILLA AVE
SHREVEPORT, LA 71107-7721
Phone number: 318-208-6200
Mailing Address
Mr. GERALD EDWARD SHOUSE
3454 VILLA AVE
SHREVEPORT, LA 71107-7721
Phone number: 318-208-6200
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