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1154103950
CAMILLE THEISEN
SHREVEPORT, LA
NPI
1154103950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 918652)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
CAMILLE THEISEN RN
1500 LINE AVE
SHREVEPORT, LA 71101-4639
Phone number: 318-213-3800
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Mailing Address
CAMILLE THEISEN RN
3170 FM 21
PITTSBURG, TX 75686-7662
Phone number: 775-336-7269
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