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1780490789
SHAQUITA ELLIS
MONROE, LA
NPI
1780490789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 213569)
Enumeration Date
2024-12-05
Last Update Date
2024-12-05
Business Address
SHAQUITA ELLIS NP
114A OAK CIR
MONROE, LA 71203-2722
Phone number: 318-816-3835
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Mailing Address
SHAQUITA ELLIS NP
114A OAK CIR
MONROE, LA 71203-2722
Phone number: 318-816-3835
Copy
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