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1023296514
WINONA FARREN WAITE
BATON ROUGE, LA
NPI
1023296514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: LA LA4315)
Enumeration Date
2008-02-06
Last Update Date
2008-02-06
Business Address
WINONA FARREN WAITE
8748 QUARTERS LAKE RD
BATON ROUGE, LA 70809
Phone number: 225-928-8686
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Mailing Address
WINONA FARREN WAITE
8748 QUARTERS LAKE RD
BATON ROUGE, LA 70809
Phone number: 225-928-8686
Copy
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