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Individual

LINDA P BOSWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1006 HIGHLAND AVE, SHREVEPORT, LA 71101-4103
(318) 949-0882
(318) 949-0882
Mailing address
PO BOX 5258, BOSSIER CITY, LA 71171-5258
(318) 949-0882
(318) 949-0882

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
014092
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1310310
LA
Enumeration date
09/29/2006
Last updated
06/17/2008
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