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1861983140
KEAOSHA TERRY
MONROE, LA
NPI
1861983140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20150891)
Enumeration Date
2018-05-23
Last Update Date
2018-05-23
Business Address
KEAOSHA TERRY
1705 WASHINGTON ST
MONROE, LA 71201-7046
Phone number: 318-325-8050
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Mailing Address
KEAOSHA TERRY
1705 WASHINGTON ST
MONROE, LA 71201-7046
Phone number:
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