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1437347002
TAMMY JO BAULDIN
SHREVEPORT, LA
NPI
1437347002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA AP08907)
Enumeration Date
2007-10-09
Last Update Date
2016-07-20
Business Address
Mrs. TAMMY JO BAULDIN NP
1905 FAIRFIELD AVE
SHREVEPORT, LA 71101
Phone number: 318-629-4729
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Mailing Address
Mrs. TAMMY JO BAULDIN NP
1905 FAIRFIELD AVE
SHREVEPORT, LA 71101
Phone number: 318-629-4729
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