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1063761898
KRISTEN HEBERT HANNAMAN
LAKE CHARLES, LA
NPI
1063761898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 782)
Enumeration Date
2012-09-07
Last Update Date
2013-08-14
Business Address
Mrs. KRISTEN HEBERT HANNAMAN PA
1905 COUNTRY CLUB RD
LAKE CHARLES, LA 70605-5203
Phone number: 337-990-8000
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Mailing Address
Mrs. KRISTEN HEBERT HANNAMAN PA
10319 JEFFERSON HWY
BATON ROUGE, LA 70809-2730
Phone number: 225-214-9352
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