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1730636614
MARILYN NICHOLS
SHREVEPORT, LA
NPI
1730636614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 810346)
Enumeration Date
2016-09-08
Last Update Date
2016-09-08
Business Address
-- MARILYN NICHOLS LPN
3341 YOUREE DR
SHREVEPORT, LA 71105-2149
Phone number: 318-219-4167
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Mailing Address
-- MARILYN NICHOLS LPN
4222 RIDGEWAY ST
SHREVEPORT, LA 71107-7634
Phone number:
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