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1295216125
HEATHER WHITE
SHREVEPORT, LA
NPI
1295216125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
HEATHER WHITE MPAS
745 OLIVE ST STE 200
SHREVEPORT, LA 71104-2246
Phone number: 318-213-2213
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Mailing Address
HEATHER WHITE MPAS
101 HARTS LANDING LN
SHREVEPORT, LA 71115-3235
Phone number: 318-677-9163
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