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1528799442
RYAN CONNELLA
SHREVEPORT, LA
NPI
1528799442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 226266)
Enumeration Date
2022-06-21
Last Update Date
2022-10-29
Business Address
RYAN CONNELLA NP
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
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Mailing Address
RYAN CONNELLA NP
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
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