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1568078392
LEISA JOAN ROAN
BOSSIER CITY, LA
NPI
1568078392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 214754)
Enumeration Date
2020-09-17
Last Update Date
2021-04-08
Business Address
LEISA JOAN ROAN NP
2539 VIKING DR STE 100
BOSSIER CITY, LA 71111-1611
Phone number: 318-747-8105
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Mailing Address
LEISA JOAN ROAN NP
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111-2165
Phone number: 318-747-8100
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