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1760583017
ANGELA S LETARD
VIDALIA, LA
NPI
1760583017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN058840)
Enumeration Date
2006-09-26
Last Update Date
2012-10-10
Business Address
-- ANGELA S LETARD CFNP
107 FRONT STREET
VIDALIA, LA 71373
Phone number: 318-336-2216
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Mailing Address
-- ANGELA S LETARD CFNP
#12 RED FOX DRIVE
NATCHEZ, MS 39120
Phone number: 601-392-1471
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