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1053130583
THOMAS DUDDY
SHREVEPORT, LA
NPI
1053130583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 237606)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
THOMAS DUDDY FNP
1560 IRVING PL
SHREVEPORT, LA 71101-4604
Phone number: 318-324-7755
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Mailing Address
THOMAS DUDDY FNP
1935 W JORDAN ST
SHREVEPORT, LA 71103-2916
Phone number: 318-799-2145
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