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1811530926
COMIS WADDELL
SHREVEPORT, LA
NPI
1811530926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: LA 208329)
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
COMIS WADDELL
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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Mailing Address
COMIS WADDELL
3925 LE BROOKE LN
BENTON, LA 71006-9726
Phone number: 318-507-6249
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