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1356862858
LANDRY CHARMAYNE BAGWELL
MONROE, LA
NPI
1356862858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP09320)
Enumeration Date
2017-07-05
Last Update Date
2024-03-26
Business Address
LANDRY CHARMAYNE BAGWELL NP
1100 N 18TH ST
MONROE, LA 71201-5780
Phone number: 318-966-8850
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Mailing Address
LANDRY CHARMAYNE BAGWELL NP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 318-966-8850
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