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1578036349
ERIN MICHELLE WALLER
RUSTON, LA
NPI
1578036349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP202217)
Enumeration Date
2019-01-04
Last Update Date
2019-01-04
Business Address
ERIN MICHELLE WALLER FNP-C
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
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Mailing Address
ERIN MICHELLE WALLER FNP-C
1200 S FARMERVILLE ST
RUSTON, LA 71270-5941
Phone number: 318-255-3690
Copy
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