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1992428239
TIFFANY LAJUNE MANGO
LAFAYETTE, LA
NPI
1992428239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 227157)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
TIFFANY LAJUNE MANGO FNP-BC
6770 JOHNSTON ST STE B
LAFAYETTE, LA 70503-6202
Phone number: 337-326-5702
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Mailing Address
TIFFANY LAJUNE MANGO FNP-BC
1931 CHEMIN METAIRIE PKWY APT 625
YOUNGSVILLE, LA 70592-6826
Phone number: 337-397-7219
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