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1225701790
AMANDA R BLOUNT
LAKE CHARLES, LA
NPI
1225701790
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Former Name
AMANDA MURRAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 218673)
Enumeration Date
2021-07-29
Last Update Date
2022-04-27
Business Address
AMANDA R BLOUNT FNP-C
1715 WOLF CIR
LAKE CHARLES, LA 70605-2353
Phone number: 337-480-7499
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Mailing Address
AMANDA R BLOUNT FNP-C
PO BOX 122525 DEPT 2525
DALLAS, TX 75312-0001
Phone number: 337-494-2772
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