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1194959585
BRIAN MIKULLA
LAKE CHARLES, LA
NPI
1194959585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: LA MD.203922)
Enumeration Date
2009-05-13
Last Update Date
2013-07-15
Business Address
-- BRIAN MIKULLA MD
1980 TYBEE ST
LAKE CHARLES, LA 70605-4173
Phone number: 337-477-0963
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Mailing Address
-- BRIAN MIKULLA MD
PO BOX 4765
LAKE CHARLES, LA 70606-4765
Phone number: 337-477-0963
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