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Individual

FALLON E. DUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
11990 JACKSON ST, CLINTON, LA 70722-0395
(225) 683-5292
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116553
LA

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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