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1396396040
HEIDI CRYSTAL WOOTEN
LAKE CHARLES, LA
NPI
1396396040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC1500X Registered Nurse, Community Health
(Licence: LA RN145746)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
HEIDI CRYSTAL WOOTEN RN
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number: 337-478-6020
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Mailing Address
HEIDI CRYSTAL WOOTEN RN
3236 KIRKMAN ST
LAKE CHARLES, LA 70601-8640
Phone number:
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