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1821552068
SHONTE' PATRICE DANIELS
VIDALIA, LA
NPI
1821552068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA F08180268)
Enumeration Date
2019-01-22
Last Update Date
2019-01-22
Business Address
SHONTE' PATRICE DANIELS
107 FRONT ST STE 2134
VIDALIA, LA 71373-2834
Phone number: 318-336-2212
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Mailing Address
SHONTE' PATRICE DANIELS
354 DEACON WAILES RD
FERRIDAY, LA 71334-4300
Phone number: 713-247-9574
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