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1184054629
MENDY WILTSHIRE
WINNSBORO, LA
NPI
1184054629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA F0613348)
Enumeration Date
2013-11-20
Last Update Date
2013-11-20
Business Address
-- MENDY WILTSHIRE
2106 LOOP RD #A
WINNSBORO, LA 71295-3344
Phone number: 318-435-6363
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Mailing Address
-- MENDY WILTSHIRE
PO BOX 283
BASKIN, LA 71219-0283
Phone number: 318-439-0365
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