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1578575692
MICHELLE RUTH-FRALEIGH PHELAN
SHREVEPORT, LA
NPI
1578575692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP04094)
Enumeration Date
2006-08-13
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE RUTH-FRALEIGH PHELAN ACNP-BC
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Ms. MICHELLE RUTH-FRALEIGH PHELAN ACNP-BC
4286 HIGHWAY 84
MANSFIELD, LA 71052-4528
Phone number: 318-221-8411
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