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1063522027
WILLIAM MABRY WILDER
SHREVEPORT, LA
NPI
1063522027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: LA 8678)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM MABRY WILDER MD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
Dr. WILLIAM MABRY WILDER MD
467 RAILSBACK ST
SHREVEPORT, LA 71106-7725
Phone number: 318-797-8689
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