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1073041026
DESIRAE NICOLLE VIDAURRI
NEW ORLEANS, LA
NPI
1073041026
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Former Name
DESRIAE NICOLLE BOLDT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810005697)
Enumeration Date
2017-06-02
Last Update Date
2017-06-02
Business Address
Dr. DESIRAE NICOLLE VIDAURRI PhD
2400 CANAL ST
NEW ORLEANS, LA 70119-6535
Phone number: 504-507-2000
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Mailing Address
Dr. DESIRAE NICOLLE VIDAURRI PhD
144 ELK PL APT 1507
NEW ORLEANS, LA 70112-2636
Phone number: 512-538-8051
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