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1013949213
CAMILLE THOMPSON WISE
HOMER, LA
NPI
1013949213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA RN078196 AP04243)
Enumeration Date
2006-07-07
Last Update Date
2008-10-07
Business Address
-- CAMILLE THOMPSON WISE NP
104 MORRIS CIR
HOMER, LA 71040-2100
Phone number: 318-927-1110
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Mailing Address
-- CAMILLE THOMPSON WISE NP
620 E COLLEGE ST
HOMER, LA 71040-3202
Phone number: 318-927-2024
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