BRENT E INGVARDSEN

SHREVEPORT, LA
NPI1528166964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  AP04397)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
-- BRENT E INGVARDSEN CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-5581
Mailing Address
-- BRENT E INGVARDSEN CRNA
511 DIXIE SWIM CLUB RD
STONEWALL, LA 71078-9538
Phone number: 318-933-8201
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