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1396417184
STORMY TULLIS
SHREVEPORT, LA
NPI
1396417184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 221451)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
STORMY TULLIS NP
3504 MANSFIELD RD
SHREVEPORT, LA 71103-4107
Phone number: 337-991-9276
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Mailing Address
STORMY TULLIS NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276
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