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1891182853
DARRYL JEROME DAVIS
ALEXANDRIA, LA
NPI
1891182853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 228926)
Enumeration Date
2015-04-16
Last Update Date
2024-10-23
Business Address
DARRYL JEROME DAVIS NP
3516 NORTH BLVD STE B
ALEXANDRIA, LA 71301-3674
Phone number: 318-239-4860
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Mailing Address
DARRYL JEROME DAVIS NP
PO BOX 4506
SHREVEPORT, LA 71134-0506
Phone number: 318-239-4860
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