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1588445886
STEPHEN MOREHEAD
SHREVEPORT, LA
NPI
1588445886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 231860)
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
Mr. STEPHEN MOREHEAD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5501
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Mailing Address
Mr. STEPHEN MOREHEAD
220 KANDILA TRL
SHREVEPORT, LA 71106-9700
Phone number: 318-510-0480
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