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1164417309
JOHN W WATERFALLEN
SHREVEPORT, LA
NPI
1164417309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: LA 014123)
Enumeration Date
2005-09-14
Last Update Date
2007-07-08
Business Address
-- JOHN W WATERFALLEN MD
7941 YOUREE DR
SHREVEPORT, LA 71105-5538
Phone number: 318-797-7941
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Mailing Address
-- JOHN W WATERFALLEN MD
7941 YOUREE DR
SHREVEPORT, LA 71105-5538
Phone number: 318-797-7941
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