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1841779097
SELISA MALVO VALYAN
LAKE CHARLES, LA
NPI
1841779097
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Other Name
SELISA DESEREE VALYAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 0225513)
Enumeration Date
2018-08-08
Last Update Date
2018-08-08
Business Address
Mrs. SELISA MALVO VALYAN
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5725
Phone number:
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Mailing Address
Mrs. SELISA MALVO VALYAN
5656 PINEWOOD DR W
LAKE CHARLES, LA 70607-7576
Phone number: 337-499-3030
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