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1194045583
JOHANNA MOON WILDE
NEW ORLEANS, LA
NPI
1194045583
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: LA MD.205810)
Enumeration Date
2010-06-08
Last Update Date
2013-07-02
Business Address
-- JOHANNA MOON WILDE MD
727 1/2 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5819
Phone number: 985-320-5467
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Mailing Address
-- JOHANNA MOON WILDE MD
1401 FOUCHER ST
NEW ORLEANS, LA 70115-3515
Phone number: 504-897-7011
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