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1336516533
HOLLY RIVERS
SHREVEPORT, LA
NPI
1336516533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA AP08449)
Enumeration Date
2015-08-24
Last Update Date
2015-08-24
Business Address
-- HOLLY RIVERS NP
2520 BERT KOUNS INDUSTRIAL LOOP SUITE 105
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5520
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Mailing Address
-- HOLLY RIVERS NP
2520 BERT KOUNS INDUSTRIAL LOOP SUITE 105
SHREVEPORT, LA 71118-3130
Phone number: 318-212-5520
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