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1922862796
STEPHANIE MOULARD BENAVIDES
ALEXANDRIA, LA
NPI
1922862796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 234406)
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
STEPHANIE MOULARD BENAVIDES
5920 COLISEUM BLVD
ALEXANDRIA, LA 71303-3714
Phone number: 318-443-9339
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Mailing Address
STEPHANIE MOULARD BENAVIDES
PO BOX 5543
ALEXANDRIA, LA 71307-5543
Phone number: 318-443-9339
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