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1770110603
LASANDRA JACQUITA DALLAS-MOUNGER
NEW ORLEANS, LA
NPI
1770110603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 0002090454)
Enumeration Date
2020-03-23
Last Update Date
2020-03-23
Business Address
LASANDRA JACQUITA DALLAS-MOUNGER
3100 GENERAL DEGAULLE DR
NEW ORLEANS, LA 70114-6632
Phone number: 504-568-3130
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Mailing Address
LASANDRA JACQUITA DALLAS-MOUNGER
3100 GENERAL DEGAULLE DR
NEW ORLEANS, LA 70114-6632
Phone number:
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