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1679537989
SHANNON TROY HIDALGO
LAKE CHARLES, LA
NPI
1679537989
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP04423)
Enumeration Date
2006-04-13
Last Update Date
2020-06-29
Business Address
Dr. SHANNON TROY HIDALGO DNP, FNP-BC
550 EAST SALE ROAD
LAKE CHARLES, LA 70609-5052
Phone number: 337-475-5748
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Mailing Address
Dr. SHANNON TROY HIDALGO DNP, FNP-BC
MSU BOX 90735
LAKE CHARLES, LA 70609-0001
Phone number: 337-475-5748
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