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Individual

AMY JO GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 624-4100
Mailing address
23515 HIGHWAY 190, MANDEVILLE, LA 70448-7334
(985) 624-4100

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20130096
LA

Other

Enumeration date
01/09/2020
Last updated
01/09/2020
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