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1740622638
MARY DIANE RABALAIS
HAMMOND, LA
NPI
1740622638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA AP07283)
Enumeration Date
2013-07-22
Last Update Date
2022-12-30
Business Address
Mrs. MARY DIANE RABALAIS WHNP
15813 PAUL VEGA MD DR STE 200
HAMMOND, LA 70403-1431
Phone number: 985-230-7650
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Mailing Address
Mrs. MARY DIANE RABALAIS WHNP
PO BOX 2668
HAMMOND, LA 70404-2668
Phone number: 985-230-7650
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