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1730850116
ANGELINA HENNIGAN
LAKE CHARLES, LA
NPI
1730850116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA 328719)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
ANGELINA HENNIGAN PA-C
340 N HIGHWAY 171 STE B
LAKE CHARLES, LA 70611-5345
Phone number: 337-419-0040
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Mailing Address
ANGELINA HENNIGAN PA-C
708 N MENNONITE RD
DERIDDER, LA 70634-6849
Phone number:
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