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1396188900
TINA BAZILE
MANDEVILLE, LA
NPI
1396188900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 240617)
Enumeration Date
2013-04-12
Last Update Date
2013-04-12
Business Address
-- TINA BAZILE LPN
900 WILKINSON ST
MANDEVILLE, LA 70448-3533
Phone number: 985-624-4450
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Mailing Address
-- TINA BAZILE LPN
900 WILKINSON ST
MANDEVILLE, LA 70448-3533
Phone number: 985-624-4450
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