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1659427417
VICKIE TESSITORE MATHERNE
HAMMOND, LA
NPI
1659427417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: LA RN064193)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- VICKIE TESSITORE MATHERNE CNM
15748 MEDICAL ARTS DR
HAMMOND, LA 70403-1446
Phone number: 985-542-0663
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Mailing Address
-- VICKIE TESSITORE MATHERNE CNM
15192 HIGHWAY 22
PONCHATOULA, LA 70454-6475
Phone number: 985-370-7953
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