CHARLES RICHARD CARLETON

SHREVEPORT, LA
NPI1457357469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IA  A-099327)
Enumeration Date2005-06-23
Last Update Date2007-07-08
Business Address
Mr. CHARLES RICHARD CARLETON MSN, FNP-C
510 STONER AVE
SHREVEPORT, LA 71101-4123
Phone number: 318-221-8411
Mailing Address
Mr. CHARLES RICHARD CARLETON MSN, FNP-C
9075 SUMMER TREE CIR
GREENWOOD, LA 71033-3051
Phone number: 318-938-6743
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