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1770317067
KWINICA ANTONETTE DAVIDSON
SHREVEPORT, LA
NPI
1770317067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WI0500X Registered Nurse, Infusion Therapy
(Licence: LA 202890)
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
KWINICA ANTONETTE DAVIDSON RN
6120 LAND O TREES ST
SHREVEPORT, LA 71119-7404
Phone number: 318-560-1702
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Mailing Address
KWINICA ANTONETTE DAVIDSON RN
6120 LAND O TREES ST
SHREVEPORT, LA 71119-7404
Phone number: 318-560-1702
Copy
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