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1710527650
CARLEE THERIOT CARROLL
LAKE CHARLES, LA
NPI
1710527650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 210944)
Enumeration Date
2020-01-08
Last Update Date
2023-03-17
Business Address
CARLEE THERIOT CARROLL APRN, FNP-C
1717 OAK PARK BLVD FL 3
LAKE CHARLES, LA 70601-8990
Phone number: 374-944-9063
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Mailing Address
CARLEE THERIOT CARROLL APRN, FNP-C
PO BOX 122165 DEPT 2165
DALLAS, TX 75312-0001
Phone number: 373-494-2772
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