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1366656787
JENNIFER HALEY WADDLE
SHREVEPORT, LA
NPI
1366656787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: LA AP04789)
Enumeration Date
2007-05-09
Last Update Date
2016-04-13
Business Address
Mrs. JENNIFER HALEY WADDLE WHCNP
2508 BERT KOUN LOOP SUITE 201
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5790
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Mailing Address
Mrs. JENNIFER HALEY WADDLE WHCNP
2508 BERT KOUN LOOP SUITE 201
SHREVEPORT, LA 71118-3133
Phone number: 318-212-5790
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