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1558693127
STACY LYNN GREGORY
SHREVEPORT, LA
NPI
1558693127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 291146)
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
Mrs. STACY LYNN GREGORY LPN
949 OLIVE ST
SHREVEPORT, LA 71104-2103
Phone number: 318-222-3132
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Mailing Address
Mrs. STACY LYNN GREGORY LPN
949 OLIVE ST
SHREVEPORT, LA 71104-2103
Phone number: 318-222-3132
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