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1700419850
JANET DOUGLAS
SHREVEPORT, LA
NPI
1700419850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 990484)
Enumeration Date
2020-02-18
Last Update Date
2020-02-18
Business Address
JANET DOUGLAS
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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Mailing Address
JANET DOUGLAS
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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