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1558181982
JOAN BLAKE
SHREVEPORT, LA
NPI
1558181982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 237621)
Enumeration Date
2024-10-11
Last Update Date
2024-11-07
Business Address
JOAN BLAKE MSN APRN ACNPC-AG
2551 GREENWOOD RD STE 410
SHREVEPORT, LA 71103-3989
Phone number: 318-621-2929
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Mailing Address
JOAN BLAKE MSN APRN ACNPC-AG
2551 GREENWOOD RD STE 410
SHREVEPORT, LA 71103-3989
Phone number: 318-621-2929
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