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1609539188
GRACE TREGRE MOFFETT
NEW ORLEANS, LA
NPI
1609539188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: AL 1-088498)
Enumeration Date
2021-10-20
Last Update Date
2021-10-26
Business Address
GRACE TREGRE MOFFETT WHNP
9954 LAKE FOREST BLVD STE 10
NEW ORLEANS, LA 70127-2647
Phone number: 504-241-0105
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Mailing Address
GRACE TREGRE MOFFETT WHNP
1527 GAUSE BLVD # 101
SLIDELL, LA 70458-2244
Phone number: 251-643-4293
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