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1497254502
NIA'JA STE'VONA MACK
BATON ROUGE, LA
NPI
1497254502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP09772)
Enumeration Date
2018-02-04
Last Update Date
2018-02-04
Business Address
NIA'JA STE'VONA MACK FNP-C
100 WOMANS WAY
BATON ROUGE, LA 70817-5100
Phone number: 225-924-8999
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Mailing Address
NIA'JA STE'VONA MACK FNP-C
25627 BUFFWOOD ST
DENHAM SPRINGS, LA 70726-5994
Phone number: 225-305-3828
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