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1730372921
SANDRA D LISOTTA
BATON ROUGE, LA
NPI
1730372921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 039091 02465)
Enumeration Date
2007-08-22
Last Update Date
2007-08-22
Business Address
-- SANDRA D LISOTTA CRNA
8212 SUMMA AVE
BATON ROUGE, LA 70809
Phone number: 225-769-4403
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Mailing Address
-- SANDRA D LISOTTA CRNA
8212 SUMMA AVE
GONZALES, LA 70737
Phone number: 225-769-4403
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