Provider Information for 1437529583
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JASHONDA ATKINS
Sex: Female
NPI: 1437529583
Last Updated: 2025-01-24
Certification Date: 2025-01-24
Certification Date: 2025-01-24
Details
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NPI | 1437529583 | ||||||||||||||||
Enumeration Date | 2015-10-01 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | PO BOX 1557 HAUGHTON, LA 71037-1557 United States Phone: 318-621-4323 | Fax: | ||||||||||||||||
Primary Practice Address | 351 NORTH HAMPTON STREET HAUGHTON, LA 71037 United States Phone: 318-560-7308 | Fax: | ||||||||||||||||
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