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1679126866
EMILY RENE MADDOX
BOSSIER CITY, LA
NPI
1679126866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 207272)
Enumeration Date
2019-07-17
Last Update Date
2021-07-08
Business Address
Mrs. EMILY RENE MADDOX ACNPC-AG
2400 HOSPITAL DR
BOSSIER CITY, LA 71111-2385
Phone number: 318-212-7990
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Mailing Address
Mrs. EMILY RENE MADDOX ACNPC-AG
1202 LOUISIANA AVE
SHREVEPORT, LA 71101-3910
Phone number: 318-212-8951
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