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1558074948
JEFFREY HOLLIS
MONROE, LA
NPI
1558074948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20100479)
Enumeration Date
2022-12-30
Last Update Date
2022-12-30
Business Address
JEFFREY HOLLIS
1808 GLENMAR AVE
MONROE, LA 71201-4932
Phone number: 318-327-5344
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Mailing Address
JEFFREY HOLLIS
1808 GLENMAR AVE
MONROE, LA 71201-4932
Phone number: 318-327-5344
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