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Sidnie Carr

NPI Registration Record

Provider / OrganizationNPIDate Certified
SIDNIE CARR15488795472020-07-24
Entity TypeIndividual
Provider Name Sidnie Carr
Practice Office Address1028 E WORTHY ST
GONZALES, LA US
Practice Office Telephone5043999851
Practice Office Fax2256126632
Mailing Address21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 913677807 US
Business Telephone8183452345
HPT Codes
CodeLicense NoState
103K00000X PRIMARY
OPI Codes

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