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1740928787
LATINA PETRESS GAINES
ALEXANDRIA, LA
NPI
1740928787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20120421)
Enumeration Date
2022-05-20
Last Update Date
2022-05-20
Business Address
LATINA PETRESS GAINES LPN
4606 LEE ST
ALEXANDRIA, LA 71302-3235
Phone number: 318-441-1105
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Mailing Address
LATINA PETRESS GAINES LPN
108 E SHAMROCK AVE
PINEVILLE, LA 71360-6552
Phone number: 318-955-2962
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