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1841994225
JEWELL LITES
SHREVEPORT, LA
NPI
1841994225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 227473)
Enumeration Date
2023-03-29
Last Update Date
2023-03-29
Business Address
JEWELL LITES AGACNP
7551 YOUREE DR STE 11
SHREVEPORT, LA 71105-5533
Phone number: 504-977-2735
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Mailing Address
JEWELL LITES AGACNP
163 PANTHER DR
STONEWALL, LA 71078-9402
Phone number: 318-525-2814
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