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1700808326
ELVIRA THOMAS
MANDEVILLE, LA
NPI
1700808326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: LA RN055768)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- ELVIRA THOMAS RN
23664 CARDINAL COVE
MANDEVILLE, LA 70448
Phone number: 985-624-4121
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Mailing Address
-- ELVIRA THOMAS RN
PO BOX 1225
MANDEVILLE, LA 70470-1225
Phone number: 985-624-4121
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