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1982294807
CHARLISSA WHITTED
LAKE CHARLES, LA
NPI
1982294807
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Former Name
CHARLISSA BOYD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20120941)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
CHARLISSA WHITTED LPN
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601-7864
Phone number: 337-263-3792
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Mailing Address
CHARLISSA WHITTED LPN
7494 COLUMBIA DR
LAKE CHARLES, LA 70605-0286
Phone number: 337-794-0113
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