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1063916195
OPTIMAL WELLNESS LLC
SHREVEPORT, LA
NPI
1063916195
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Entity Type
Organization
Authorized Contact
SREEDEVI YERRAPRAGADA
Officer/Manager
318-716-1200
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
OPTIMAL WELLNESS LLC
745 OLIVE STREET SUITE 109
SHREVEPORT, LA 71104
Phone number: 318-716-1200
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Mailing Address
OPTIMAL WELLNESS LLC
745 OLIVE STREET SUITE 109
SHREVEPORT, LA 71104
Phone number: 318-716-1200
Copy
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