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1780809061
STACEY OSWALT BEDSOLE
SHREVEPORT, LA
NPI
1780809061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: LA RN102236)
Enumeration Date
2007-04-13
Last Update Date
2023-08-31
Business Address
STACEY OSWALT BEDSOLE RN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-550-8107
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Mailing Address
STACEY OSWALT BEDSOLE RN
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-550-8107
Copy
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