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Individual

LINDA FAYE SHARPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
200 S 26TH ST, MONROE, LA 71201-8014
(318) 235-6019
(318) 334-1595
Mailing address
200 S 26TH ST, MONROE, LA 71201-8014
(318) 235-6019
(318) 334-1595

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
A801827
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021687
LA
01
1548445232
SHARP MINDS
LA
Enumeration date
01/01/2008
Last updated
01/02/2008
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