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Individual

JULIANA VALERIE BURNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
Mailing address
2640 SUMMER GROVE DR, SHREVEPORT, LA 71118-3245
(318) 655-0468

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN149818
LA

Other

Enumeration date
12/18/2018
Last updated
12/18/2018
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