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1386997351
JEREMY P DAVIS
SHREVEPORT, LA
NPI
1386997351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP07028)
Enumeration Date
2012-10-16
Last Update Date
2022-08-11
Business Address
JEREMY P DAVIS ACNP-BC
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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Mailing Address
JEREMY P DAVIS ACNP-BC
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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