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1083797245
HEIDI E WIMBERLY
SHREVEPORT, LA
NPI
1083797245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: LA PA200094RX)
Enumeration Date
2006-10-23
Last Update Date
2011-01-13
Business Address
-- HEIDI E WIMBERLY PA-C
2600 KINGS HWY DEPARTMENT OF RADIATION ONCOLOGY
SHREVEPORT, LA 71103-3950
Phone number: 318-212-4639
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Mailing Address
-- HEIDI E WIMBERLY PA-C
2600 KINGS HWY DEPARTMENT OF RADIATION ONCOLOGY
SHREVEPORT, LA 71103-3950
Phone number: 318-212-4639
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