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1003904236
PEDIATRIC CLINIC WESTBANK
GRETNA, LA
NPI
1003904236
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Entity Type
Organization
Authorized Contact
TAMMY GRAFE
Office Manager
504-392-9298
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: LA 018557)
Enumeration Date
2006-10-11
Last Update Date
2010-05-20
Business Address
PEDIATRIC CLINIC WESTBANK
151 MEADOWCREST ST STE F
GRETNA, LA 70056-5256
Phone number: 504-392-9298
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Mailing Address
PEDIATRIC CLINIC WESTBANK
151 MEADOWCREST ST STE F
GRETNA, LA 70056-5256
Phone number: 504-392-9298
Copy
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