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Individual

DR. DENNIS BRIAN MUTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
832 E BOSTON ST, SUITE 8, COVINGTON, LA 70433-2985
(985) 875-2225
(985) 875-2223
Mailing address
832 E BOSTON ST, SUITE 8, COVINGTON, LA 70433-2985
(985) 875-2225
(985) 875-2223

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
1101
LA

Other

Enumeration date
10/21/2005
Last updated
08/10/2010
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