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1881420222
SHADONTRE HOUSTON
SHREVEPORT, LA
NPI
1881420222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 235800)
Enumeration Date
2024-09-11
Last Update Date
2024-09-11
Business Address
SHADONTRE HOUSTON
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
SHADONTRE HOUSTON
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number:
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