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1396402434
TIESHA WHITE
ALEXANDRIA, LA
NPI
1396402434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904883)
Enumeration Date
2021-11-23
Last Update Date
2021-11-23
Business Address
TIESHA WHITE
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-769-3495
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Mailing Address
TIESHA WHITE
329 WOODLAND AVE
FERRIDAY, LA 71334-2026
Phone number: 601-807-3341
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