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1396008843
SHELLY PETRY
LAFAYETTE, LA
NPI
1396008843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN082564)
Enumeration Date
2012-06-20
Last Update Date
2016-07-01
Business Address
-- SHELLY PETRY RN
220 WEST WILLOW STREET BUILDING A
LAFAYETTE, LA 70501
Phone number: 337-262-5616
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Mailing Address
-- SHELLY PETRY RN
220 W. WILLOW ST. BLDG.A
LAFAYETTE, LA 70501
Phone number: 337-262-5616
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