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1780237701
MARY INMAN
SHREVEPORT, LA
NPI
1780237701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: LA 207290)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
MARY INMAN ACNPC-AG
1449 E BERT KOUN LOOP STE 100
SHREVEPORT, LA 71105-5680
Phone number: 318-629-0220
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Mailing Address
MARY INMAN ACNPC-AG
1449 E BERT KOUN LOOP STE 100
SHREVEPORT, LA 71105-5680
Phone number: 318-629-0220
Copy
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