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Shantae Marie Gant
Student in an Organized Health Care Education/Training Program in Mansfield, Louisiana
NPI 1992426357

Shantae Marie Gant is a Student in an Organized Health Care Education/Training Program based in Mansfield, LA. Shantae Marie Gant practices in Mansfield, LA. The NPI Number for Shantae Marie Gant is 1992426357 and holds a License No. (Louisiana).

The current practice location address for Shantae Marie Gant is 3314 Sloan Rd, Mansfield, LA and can be reached out via phone at 318-947-0087.

Location: 3314 Sloan Rd, Mansfield, LA, 71052-6604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992426357
Provider Name
Shantae Marie Gant
Credential
Provider Entity Type
Individual
Gender
Female
Address
3314 Sloan Rd, Mansfield, LA, 71052-6604
Phone Number
318-947-0087
Fax Number
Provider Enumeration Date
09/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3314 Sloan Rd
City
Mansfield
State
Louisiana
Zip
71052-6604
Phone Number
318-947-0087
Fax Number
person
Provider Business Mailing Address Details
Address
3314 Sloan Rd
City
Mansfield
State
Louisiana
Zip
71052-6604
Phone Number
318-947-0087
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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