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1326815135
GERALD EDWARD SHOUSE
SHREVEPORT, LA
NPI
1326815135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: LA 211335)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
Mr. GERALD EDWARD SHOUSE
3454 VILLA AVE
SHREVEPORT, LA 71107-7721
Phone number: 318-208-6200
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Mailing Address
Mr. GERALD EDWARD SHOUSE
3454 VILLA AVE
SHREVEPORT, LA 71107-7721
Phone number: 318-208-6200
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