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1710101373
REBECCA FAYE NOLAN
SHREVEPORT, LA
NPI
1710101373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
(Licence: LA 793MP)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Dr. REBECCA FAYE NOLAN PhD
111 CARROLL ST
SHREVEPORT, LA 71105-4203
Phone number: 318-865-3482
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Mailing Address
Dr. REBECCA FAYE NOLAN PhD
111 CARROLL ST
SHREVEPORT, LA 71105-4203
Phone number: 318-865-3482
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