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Individual

GWENDOLYN LEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
814 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-3178
Mailing address
9155 CRESTWYN HILLS DR, MEMPHIS, TN 38125-8501
(901) 261-4858
(901) 261-4867

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN071795
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06544
LA

Other

Enumeration date
09/06/2011
Last updated
06/18/2013
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