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Individual

CHASE C WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2751 ALBERT L BICKNELL DR, SUITE 3C, SHREVEPORT, LA 71103-3920
(318) 212-0810
(318) 212-0812
Mailing address
PO BOX 1684, SHREVEPORT, LA 71165-1684
(318) 212-0810
(318) 212-0812

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08308
LA

Other

Enumeration date
06/18/2015
Last updated
06/18/2015
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