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1881470391
KRISTA MANCUSO
LAFAYETTE, LA
NPI
1881470391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 232007)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
KRISTA MANCUSO APRN, FNP-C
202 RUE PROMENADE
LAFAYETTE, LA 70508-7218
Phone number: 337-806-9161
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Mailing Address
KRISTA MANCUSO APRN, FNP-C
202 RUE PROMENADE
LAFAYETTE, LA 70508-7218
Phone number: 337-806-9161
Copy
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