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1912912395
DIANE WADE WHALEY
BOSSIER CITY, LA
NPI
1912912395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
Enumeration Date
2006-07-31
Last Update Date
2008-02-04
Business Address
Mrs. DIANE WADE WHALEY ABOC
2353 AIRLINE DR SUITE B
BOSSIER CITY, LA 71111-5810
Phone number: 318-747-9227
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Mailing Address
Mrs. DIANE WADE WHALEY ABOC
2353 AIRLINE DRIVE
BOSSIER CITY, LA 71111-5915
Phone number: 318-747-9227
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