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MR. FLAVIUS LEROY ALLIGOOD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NURSE CASE MANAGER

Contact information

Practice address
1585 3RD ST BLDG 285, FORT POLK, LA 71459-5102
(337) 531-2889
Mailing address
133 CARLIN RD, ANACOCO, LA 71403-3248
(337) 424-0153

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
089476
LA

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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