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Organization
UNITED STATES AIRFORCE
Active
Organization
UNITED STATES AIRFORCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA HELEN MAHAN RN (NURSE PRACTITIONER)
(318) 235-9300
Entity
Organization
Contact information
Practice address
1801 N 5TH ST, MONROE, LA 71201-4245
(318) 235-9300
Mailing address
1801 N 5TH ST, MONROE, LA 71201-4245
(318) 235-9300
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
119937
LA
Other
Enumeration date
02/10/2013
Last updated
02/10/2013
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