IHIANLE OSAGIE

MONROE, LA
NPI1861044554
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  331863)
Enumeration Date2019-07-12
Last Update Date2024-02-22
Business Address
IHIANLE OSAGIE
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7615
Mailing Address
IHIANLE OSAGIE
4864 JACKSON ST
MONROE, LA 71202-6400
Phone number: 318-330-7615
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