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1376096636
STACEY PARDUE
MONROE, LA
NPI
1376096636
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: LA 1014)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- STACEY PARDUE PT
1325 LOUISVILLE AVE
MONROE, LA 71201-6021
Phone number: 318-807-1500
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Mailing Address
-- STACEY PARDUE PT
130 DESIARD ST SUITE 355
MONROE, LA 71201-7319
Phone number: 318-807-7875
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