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1992267033
MISHAYLA VINCENT
LAKE CHARLES, LA
NPI
1992267033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20142502)
Enumeration Date
2019-04-05
Last Update Date
2019-04-05
Business Address
MISHAYLA VINCENT LPN
2411 ERNEST ST
LAKE CHARLES, LA 70601-7265
Phone number: 337-292-1625
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Mailing Address
MISHAYLA VINCENT LPN
2411 ERNEST ST
LAKE CHARLES, LA 70601-7265
Phone number: 337-292-1625
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