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GINA YI INTHAVONG NURSE PRACTITIONER
NURSE PRACTITIONER
Nurse Practitioner
NPI: 1912579301IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
221149(LA)
Education
OTHER
Class of 2021
Contact & Hours
Via practice · 2 locations total
- Address
- 1800 BUCKNER ST STE C120
SHREVEPORT, LA 71101 - Phone
- (318) 227-8899
Quick Facts
- NPI
- 1912579301
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 5
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