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1497575443
ALYSSA DISOSO
COVINGTON, LA
NPI
1497575443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 201773)
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
ALYSSA DISOSO APRN, AGACNP
121 LAKEVIEW CIR STE A
COVINGTON, LA 70433-7521
Phone number: 985-400-5483
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Mailing Address
ALYSSA DISOSO APRN, AGACNP
162 PINE CREEK DR
MADISONVILLE, LA 70447-9679
Phone number: 985-502-8556
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