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1013200716
INTERNAL MEDICINE OF HAMMOND, LLC
HAMMOND, LA
NPI
1013200716
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Entity Type
Organization
Authorized Contact
ANGELO RUSSO
Owner
985-230-4466
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: LA MD.014788)
Enumeration Date
2011-05-27
Last Update Date
2011-05-27
Business Address
INTERNAL MEDICINE OF HAMMOND, LLC
1004 W THOMAS ST
HAMMOND, LA 70401-3040
Phone number: 985-230-4466
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Mailing Address
INTERNAL MEDICINE OF HAMMOND, LLC
1004 W THOMAS ST
HAMMOND, LA 70401-3040
Phone number: 985-230-4466
Copy
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