CARL G MALLETT

LAKE CHARLES, LA
NPI1104806124
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  03828)
Enumeration Date2006-01-17
Last Update Date2010-09-22
Business Address
CARL G MALLETT CRNA
1128 HIDDEN OAK LN
LAKE CHARLES, LA 70605-7123
Phone number: 337-478-1085
Mailing Address
CARL G MALLETT CRNA
1128 HIDDEN OAK LN
LAKE CHARLES, LA 70605-7123
Phone number: 337-478-1085
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