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1356759153
MARY TILLMAN ACOSTA
SHREVEPORT, LA
NPI
1356759153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA AP07973)
Enumeration Date
2014-07-24
Last Update Date
2021-07-06
Business Address
Mrs. MARY TILLMAN ACOSTA WHNP-BC
8001 YOUREE DR STE 300
SHREVEPORT, LA 71115-2303
Phone number: 318-212-3800
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Mailing Address
Mrs. MARY TILLMAN ACOSTA WHNP-BC
8001 YOUREE DR STE 320
SHREVEPORT, LA 71115-2354
Phone number: 318-212-2870
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