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1356494868
PHYLLIS DALE WARING
SLIDELL, LA
NPI
1356494868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 017996)
Enumeration Date
2007-01-19
Last Update Date
2007-07-08
Business Address
-- PHYLLIS DALE WARING md
204 RUE JONATHAN
SLIDELL, LA 70461-5438
Phone number: 985-847-0689
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Mailing Address
-- PHYLLIS DALE WARING md
204 RUE JONATHAN
SLIDELL, LA 70461-5438
Phone number: 985-847-0689
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