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1558085399
CONSTANCE THOMAS
SHREVEPORT, LA
NPI
1558085399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 227081)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
CONSTANCE THOMAS
9320 LINWOOD AVE
SHREVEPORT, LA 71106-7003
Phone number: 318-644-8830
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Mailing Address
CONSTANCE THOMAS
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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