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1871489393
BLAKE ODEN
MONROE, LA
NPI
1871489393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 217824)
Enumeration Date
2025-06-13
Last Update Date
2025-06-13
Business Address
BLAKE ODEN FNP, APRN
1501 LOUISVILLE AVE
MONROE, LA 71201-6025
Phone number: 318-323-8451
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Mailing Address
BLAKE ODEN FNP, APRN
813 WALLACE DEAN RD
WEST MONROE, LA 71291-7754
Phone number: 318-237-2832
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