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1578076709
TANIECIA CALLOWAY
HOUMA, LA
NPI
1578076709
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20170578)
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
TANIECIA CALLOWAY LPN
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Phone number: 985-879-3966
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Mailing Address
TANIECIA CALLOWAY LPN
420 MAGNOLIA ST
HOUMA, LA 70360-6304
Phone number: 985-879-3966
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