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1497026645
WILLIAM R NETTERVILLE
SHREVEPORT, LA
NPI
1497026645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA 113623)
Enumeration Date
2012-01-19
Last Update Date
2012-01-19
Business Address
-- WILLIAM R NETTERVILLE CRNA
1501 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-675-7109
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Mailing Address
-- WILLIAM R NETTERVILLE CRNA
392 HALF MOON CT
BOSSIER CITY, LA 71111-5569
Phone number: 318-347-5591
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