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Individual

DEBRA TOWER MALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
424 W MCNEESE ST, LAKE CHARLES, LA 70605-5547
(337) 478-0511
Mailing address
2724 RUE CALAIS DR, LAKE CHARLES, LA 70605-4041
(337) 781-5566

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN084146
LA

Other

Enumeration date
02/01/2007
Last updated
07/05/2016
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