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1629823794
KYLEE BROOKE POUDRIER
SHREVEPORT, LA
NPI
1629823794
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Other Name
KYLEE BROOKE BENTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 235642)
Enumeration Date
2024-04-22
Last Update Date
2024-05-31
Business Address
KYLEE BROOKE POUDRIER FNP
8383 MILLICENT WAY STE B
SHREVEPORT, LA 71115-5207
Phone number: 318-631-9121
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Mailing Address
KYLEE BROOKE POUDRIER FNP
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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