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1881044360
JEANIE TASSIN PONTHIER
ALEXANDRIA, LA
NPI
1881044360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP08819)
Enumeration Date
2016-06-15
Last Update Date
2021-08-25
Business Address
JEANIE TASSIN PONTHIER
1587 N BOLTON AVE
ALEXANDRIA, LA 71303-4217
Phone number: 318-445-9823
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Mailing Address
JEANIE TASSIN PONTHIER
1587 N BOLTON AVE
ALEXANDRIA, LA 71303-4217
Phone number: 318-445-9823
Copy
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