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1326505678
CATHERINE WAITZ BONNEVAL
RACELAND, LA
NPI
1326505678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 203921)
Enumeration Date
2019-02-22
Last Update Date
2019-02-22
Business Address
CATHERINE WAITZ BONNEVAL
4370 HIGHWAY 1
RACELAND, LA 70394-3866
Phone number: 985-209-2303
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Mailing Address
CATHERINE WAITZ BONNEVAL
4370 HIGHWAY 1
RACELAND, LA 70394-3866
Phone number: 985-209-2303
Copy
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