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1801626577
SHAVON RYAN
SLIDELL, LA
NPI
1801626577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 236896)
Enumeration Date
2024-08-06
Last Update Date
2024-09-24
Business Address
SHAVON RYAN
1830 KINGS ROW
SLIDELL, LA 70461-4800
Phone number: 504-657-4432
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Mailing Address
SHAVON RYAN
1830 KINGS ROW
SLIDELL, LA 70461-4800
Phone number: 504-657-4432
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