DWAYNE OLIVER JETER

ALEXANDRIA, LA
NPI1720483787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP08020)
Enumeration Date2014-11-01
Last Update Date2014-11-01
Business Address
-- DWAYNE OLIVER JETER
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-769-3000
Mailing Address
-- DWAYNE OLIVER JETER
211 4TH ST
ALEXANDRIA, LA 71301-8421
Phone number: 318-769-3000
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