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1962059238
WAKANDA MASON
ALEXANDRIA, LA
NPI
1962059238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 208238)
Enumeration Date
2019-08-21
Last Update Date
2022-09-01
Business Address
WAKANDA MASON APRN, PMHNP-BC
1450B PETERMAN DR
ALEXANDRIA, LA 71301-3432
Phone number: 318-299-2950
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Mailing Address
WAKANDA MASON APRN, PMHNP-BC
PO BOX 3352
PINEVILLE, LA 71361-3352
Phone number: 318-299-2950
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