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1922653443
TARCARIYUNN SHANTAY CALDWELL
SHREVEPORT, LA
NPI
1922653443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 207572)
Enumeration Date
2019-08-02
Last Update Date
2019-08-02
Business Address
TARCARIYUNN SHANTAY CALDWELL
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
TARCARIYUNN SHANTAY CALDWELL
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0284
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