MICHELLE KATHLEEN WYNN

SHREVEPORT, LA
NPI1831459056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  09989)
Enumeration Date2012-05-22
Last Update Date2012-05-22
Business Address
-- MICHELLE KATHLEEN WYNN LPN
3937 PINES RD SUITE H
SHREVEPORT, LA 71119-7301
Phone number: 318-635-1668
Mailing Address
-- MICHELLE KATHLEEN WYNN LPN
3937 PINES RD SUITE H
SHREVEPORT, LA 71119-7301
Phone number: 318-635-1668
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