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1346822731
AMANDA VINING
JEFFERSON, LA
NPI
1346822731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-25
Last Update Date
2021-04-27
Business Address
AMANDA VINING MD
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 866-624-7637
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Mailing Address
AMANDA VINING MD
805 LINDEN ST
METAIRIE, LA 70003-4233
Phone number: 601-297-2973
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