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1942847454
TIFFANY LEFALL
SHREVEPORT, LA
NPI
1942847454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 208573)
Enumeration Date
2019-12-03
Last Update Date
2019-12-03
Business Address
TIFFANY LEFALL NP
3302 MANSFIELD RD
SHREVEPORT, LA 71103-4106
Phone number: 337-991-9276
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Mailing Address
TIFFANY LEFALL NP
1509 DULLES DR
LAFAYETTE, LA 70506-3718
Phone number: 337-991-9276
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