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Individual

MRS. AMANDA PAIGE MULIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2770 3RD AVE, STE 120, LAKE CHARLES, LA 70601-8994
(337) 494-4868
(337) 494-4870
Mailing address
PO BOX 122342, DEPT 2342, DALLAS, TX 75312-2342
(337) 494-4868
(337) 494-4870

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08935
LA

Other

Enumeration date
11/21/2016
Last updated
11/21/2016
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