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Individual

ANGELA BOSSIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5520 JOHNSTON ST # K635, LAFAYETTE, LA 70503-5138
(337) 255-2480
Mailing address
PO BOX 1145, SCOTT, LA 70583-1145
(337) 255-2480

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
20150080
LA
251J00000X
Nursing Care Agency
Primary
20150080
LA

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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