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1487904686
BETHANY WILLIS
HAYNESVILLE, LA
NPI
1487904686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: 11192214)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
-- BETHANY WILLIS IBCLC
2114 SPRING DR
HAYNESVILLE, LA 71038-5518
Phone number: 318-624-2243
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Mailing Address
-- BETHANY WILLIS IBCLC
2114 SPRING DR
HAYNESVILLE, LA 71038-5518
Phone number: 318-624-2243
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