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1871209973
ANISSA NICOLE WOMACK
BATON ROUGE, LA
NPI
1871209973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 229214)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
ANISSA NICOLE WOMACK PMHNP
1765 ONEAL LN
BATON ROUGE, LA 70816-1633
Phone number: 225-605-3103
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Mailing Address
ANISSA NICOLE WOMACK PMHNP
1765 ONEAL LN
BATON ROUGE, LA 70816-1633
Phone number: 985-215-2419
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