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1154004711
MARY CATHERINE BUCKLEY
SHREVEPORT, LA
NPI
1154004711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: LA 231227)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
MARY CATHERINE BUCKLEY APRN
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
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Mailing Address
MARY CATHERINE BUCKLEY APRN
28419 HIGHWAY 9
BIENVILLE, LA 71008-2856
Phone number: 318-617-9592
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