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1083718159
VICKY DIANNE WALL
ALEXANDRIA, LA
NPI
1083718159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA APO3738)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
Ms. VICKY DIANNE WALL NURSE PRACTITIONER
DEPT. OF VETERANS AFFAIRS MEDICAL CENTER SHREVEPORT HWY
ALEXANDRIA, LA 71306
Phone number: 318-473-0010
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Mailing Address
Ms. VICKY DIANNE WALL NURSE PRACTITIONER
413 E RIDGE DR
PINEVILLE, LA 71360-4701
Phone number: 318-473-0010
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