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1912638271
ZACHARY SCOTT WILSON
SHREVEPORT, LA
NPI
1912638271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 226165)
Enumeration Date
2022-06-18
Last Update Date
2022-06-22
Business Address
Mr. ZACHARY SCOTT WILSON AGAC-NP
1453 E BERT KOUN LOOP STE 112
SHREVEPORT, LA 71105-6810
Phone number: 318-223-5777
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Mailing Address
Mr. ZACHARY SCOTT WILSON AGAC-NP
1453 E BERT KOUN LOOP STE 112
SHREVEPORT, LA 71105-6810
Phone number: 318-223-5777
Copy
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