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Individual

CAROL A RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2360 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7283
(985) 641-7207
Mailing address
2360 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7283
(985) 641-7207

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN33774
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09256085
MS
05
1559181
LA
Enumeration date
06/15/2006
Last updated
02/13/2023
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