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1942975016
ALICE EDMAISTON
LAKE CHARLES, LA
NPI
1942975016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 221771)
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
ALICE EDMAISTON FNP-C
4150 NELSON RD STE 2
LAKE CHARLES, LA 70605-4148
Phone number: 337-475-8949
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Mailing Address
ALICE EDMAISTON FNP-C
PO BOX 1426
IOWA, LA 70647-1426
Phone number: 337-391-9246
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