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1386845964
AMY WHITE STAFFORD
SHREVEPORT, LA
NPI
1386845964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA PA.A10510)
Enumeration Date
2007-05-30
Last Update Date
2024-01-06
Business Address
AMY WHITE STAFFORD PA-C
9007 ELLERBE RD
SHREVEPORT, LA 71106-6724
Phone number: 318-222-3278
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Mailing Address
AMY WHITE STAFFORD PA-C
9007 ELLERBE RD
SHREVEPORT, LA 71106-6724
Phone number: 318-222-3278
Copy
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