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1982011672
SHANE THOMAS
BATON ROUGE, LA
NPI
1982011672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07854)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- SHANE THOMAS APRN
10059 N REIGER RD
BATON ROUGE, LA 70809-4559
Phone number: 225-456-2330
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Mailing Address
-- SHANE THOMAS APRN
10059 N REIGER RD
BATON ROUGE, LA 70809-4559
Phone number: 225-456-2330
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PRIMARY CARE AT HOME OF LOUISIANA III, LLC