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Individual

MARY H. DEGEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
157 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-6823
Mailing address
157 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-6823

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN079419
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN079419
STATE OF LOUISIANA BOARD OF NURSING (RN)
LA
Enumeration date
10/02/2009
Last updated
10/02/2009
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