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1285296723
BRIDGET ODOM LEE
SHREVEPORT, LA
NPI
1285296723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 206766)
Enumeration Date
2019-07-05
Last Update Date
2019-07-05
Business Address
BRIDGET ODOM LEE
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
BRIDGET ODOM LEE
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number:
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