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1417931791
MICKI S. KIETA
LAFAYETTE, LA
NPI
1417931791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: LA AP03115)
Enumeration Date
2005-12-01
Last Update Date
2007-07-16
Business Address
MS. MICKI S. KIETA CRNA
4212 W CONGRESS ST SUITE 3200
LAFAYETTE, LA 70506-6765
Phone number: 337-981-3546
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Mailing Address
MS. MICKI S. KIETA CRNA
PO BOX 60475
LAFAYETTE, LA 70596-0475
Phone number: 337-988-1890
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