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1972650653
JUANETTA MARTIN
BASTROP, LA
NPI
1972650653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 900889)
Enumeration Date
2007-01-04
Last Update Date
2007-07-09
Business Address
Ms. JUANETTA MARTIN LPN
8057 WILLIARD RD
BASTROP, LA 71220-8939
Phone number: 318-556-0043
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Mailing Address
Ms. JUANETTA MARTIN LPN
PO BOX 561 8057 WILLARD ROAD
BASTROP, LA 71221-0561
Phone number: 318-556-0043
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