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Organization

DESOTO FAMILY EYE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETE WARDELL O.D. (MEMBER)
(318) 332-6171
Entity
Organization

Contact information

Practice address
946 KEYSER AVE, NATCHITOCHES, LA 71457-6266
(318) 332-6171
(318) 352-3145
Mailing address
946 KEYSER AVE, NATCHITOCHES, LA 71457-6266
(318) 332-6171
(318) 352-3145

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1419-543T
LA

Other

Enumeration date
04/25/2011
Last updated
04/25/2011
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