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1447810973
ASHLEY C VIVIANO
SHREVEPORT, LA
NPI
1447810973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA AP206206)
Enumeration Date
2019-06-17
Last Update Date
2019-06-17
Business Address
Mrs. ASHLEY C VIVIANO MSN, APRN, PNP-PC
1919 FAIRFIELD AVE
SHREVEPORT, LA 71101-4436
Phone number: 318-828-2210
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Mailing Address
Mrs. ASHLEY C VIVIANO MSN, APRN, PNP-PC
2317 TALLGRASS CIR
BOSSIER CITY, LA 71111-6730
Phone number: 318-286-8684
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