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1992168520
MICHAEL KINGMAN VAIL
METAIRIE, LA
NPI
1992168520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: LA RN085565)
Enumeration Date
2016-03-31
Last Update Date
2016-03-31
Business Address
MR. MICHAEL KINGMAN VAIL
3838 N CAUSEWAY BLVD
METAIRIE, LA 70002-8194
Phone number: 985-727-8012
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Mailing Address
MR. MICHAEL KINGMAN VAIL
604 CASEY DR
MANDEVILLE, LA 70471-6722
Phone number: 985-845-3080
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