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1134850159
AMANDA LYNN IVERSON
BATON ROUGE, LA
NPI
1134850159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 332139)
Enumeration Date
2022-06-21
Last Update Date
2022-07-12
Business Address
AMANDA LYNN IVERSON PA-C
10101 PARK ROWE AVE
BATON ROUGE, LA 70810-1686
Phone number: 225-906-2999
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Mailing Address
AMANDA LYNN IVERSON PA-C
330 CHAPEL LOOP
MANDEVILLE, LA 70471-2515
Phone number:
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