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1821103870
SUSAN E MIEDECKE
SCOTT, LA
NPI
1821103870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: LA 03861)
Enumeration Date
2006-08-20
Last Update Date
2008-06-11
Business Address
MS. SUSAN E MIEDECKE NP
5935 CAMERON ST
SCOTT, LA 70583-5182
Phone number: 337-264-0326
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Mailing Address
MS. SUSAN E MIEDECKE NP
PO BOX 52900
LAFAYETTE, LA 70505-2900
Phone number: 337-264-0326
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