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1477986255
ALICE C BLUE
BOSSIER CITY, LA
NPI
1477986255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07412)
Enumeration Date
2013-08-15
Last Update Date
2021-05-21
Business Address
ALICE C BLUE APRN
800 CHINABERRY DRIVE
BOSSIER CITY, LA 71111
Phone number: 318-349-6774
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Mailing Address
ALICE C BLUE APRN
800 CHINABERRY DRIVE
BOSSIER CITY, LA 71111-2165
Phone number: 318-734-9677
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