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1629375712
GLENN JEROME LANDRY
BATON ROUGE, LA
NPI
1629375712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: LA 06368)
Enumeration Date
2011-02-25
Last Update Date
2020-12-29
Business Address
GLENN JEROME LANDRY NP
4950 ESSEN LN STE 503
BATON ROUGE, LA 70809-3738
Phone number: 225-765-1737
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Mailing Address
GLENN JEROME LANDRY NP
5959 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6038
Phone number: 225-526-0011
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