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1053027482
VENESSA NACOLE WILSON
BATON ROUGE, LA
NPI
1053027482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
(Licence: LA 419152)
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
VENESSA NACOLE WILSON
7819 BLUEBONNET BLVD STE C
BATON ROUGE, LA 70810-2836
Phone number: 225-335-8652
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Mailing Address
VENESSA NACOLE WILSON
7819 BLUEBONNET BLVD STE C
BATON ROUGE, LA 70810-2836
Phone number: 225-335-8652
Copy
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