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1992116255
CRYSTAL ALACK
COVINGTON, LA
NPI
1992116255
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner Women's Health
(Licence: LA 111536)
Enumeration Date
2014-05-08
Last Update Date
2014-05-08
Business Address
CRYSTAL ALACK R.N. WHNP
77 STARBRUSH CIRCLE
COVINGTON, LA 70433
Phone number: 985-893-0995
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Mailing Address
CRYSTAL ALACK R.N. WHNP
77 STARBRUSH CIRCLE
COVINGTON, LA 70433
Phone number: 985-893-0995
Copy
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