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Individual

ANGELA LAROE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9514 PRIMROSE LN, SHREVEPORT, LA 71118-4022
(318) 218-9035
Mailing address
9514 PRIMROSE LN, SHREVEPORT, LA 71118-4022
(318) 218-9035

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
951411
LA
3747P1801X
Personal Care Attendant
951411
LA

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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