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1215946314
DEBRA ANN CLAYCOMB
SHREVEPORT, LA
NPI
1215946314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ Rn032153, NP #162)
Enumeration Date
2006-08-07
Last Update Date
2007-07-08
Business Address
-- DEBRA ANN CLAYCOMB Nurse Practitioner
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
-- DEBRA ANN CLAYCOMB Nurse Practitioner
10759 WALNUT RIDGE LN
KEITHVILLE, LA 71047-5501
Phone number:
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