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1487365599
DIANNA ELIZABETH FORT
SHREVEPORT, LA
NPI
1487365599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH1000X Registered Nurse, Hospice
(Licence: LA RN158038)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
Mrs. DIANNA ELIZABETH FORT
246 ATLANTIC AVE
SHREVEPORT, LA 71105-3027
Phone number: 318-294-6337
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Mailing Address
Mrs. DIANNA ELIZABETH FORT
246 ATLANTIC AVE
SHREVEPORT, LA 71105-3027
Phone number: 318-294-6337
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