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1568190767
TINA MICHELLE DAVIS
BATON ROUGE, LA
NPI
1568190767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 205936)
Enumeration Date
2022-08-15
Last Update Date
2023-05-09
Business Address
TINA MICHELLE DAVIS
15359 COCODRIE AVE
BATON ROUGE, LA 70817-4708
Phone number: 318-243-7404
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Mailing Address
TINA MICHELLE DAVIS
15359 COCODRIE AVE
BATON ROUGE, LA 70817-4708
Phone number: 318-243-7404
Copy
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