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1679192983
EBONI PAYTON ADDISON
MARRERO, LA
NPI
1679192983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 212096)
Enumeration Date
2020-04-16
Last Update Date
2022-08-19
Business Address
EBONI PAYTON ADDISON MSN APRN FNP-C
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072-3147
Phone number: 504-347-5511
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Mailing Address
EBONI PAYTON ADDISON MSN APRN FNP-C
2612 ANCHOR DR
MARRERO, LA 70072-6081
Phone number: 504-292-5057
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