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1609156397
PHYLLIS WAGUESPACK
LA PLACE, LA
NPI
1609156397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: LA RN042692)
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
-- PHYLLIS WAGUESPACK R.N.
1809 W AIRLINE HWY
LA PLACE, LA 70068-3336
Phone number: 985-652-8444
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Mailing Address
-- PHYLLIS WAGUESPACK R.N.
1809 W AIRLINE HWY
LA PLACE, LA 70068-3336
Phone number: 985-652-8444
Copy
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