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1679079289
ALISHA DANIELLE PRYSTOWSKY
JEFFERSON, LA
NPI
1679079289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
ALISHA DANIELLE PRYSTOWSKY MD
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 866-624-7637
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Mailing Address
ALISHA DANIELLE PRYSTOWSKY MD
4740 S I 10 SERVICE RD W STE 120
METAIRIE, LA 70001-1214
Phone number: 504-988-5458
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