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1942220959
TAMMY RENE BENNETT
SHREVEPORT, LA
NPI
1942220959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN072119)
Enumeration Date
2006-07-20
Last Update Date
2024-05-29
Business Address
TAMMY RENE BENNETT N.P.
1525 FAIRFIELD AVE STE 569 OFFICE OF PUBLIC HEALTH
SHREVEPORT, LA 71101-4331
Phone number: 318-676-7483
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Mailing Address
TAMMY RENE BENNETT N.P.
655 SR 333
RUSSELLVILLE, AR 72802-0963
Phone number: 318-470-1886
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