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1073157970
LIFE COAST COMMUNITY HEALTH CENTER INC
THIBODAUX, LA
NPI
1073157970
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Entity Type
Organization
Authorized Contact
DIANE WEBRE
Clinic Manager
985-492-6170
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-11-04
Last Update Date
2022-12-09
Business Address
LIFE COAST COMMUNITY HEALTH CENTER INC
1101 AUDUBON AVE STE S1
THIBODAUX, LA 70301-4957
Phone number: 985-492-6170
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Mailing Address
LIFE COAST COMMUNITY HEALTH CENTER INC
1101 AUDUBON AVE STE S1
THIBODAUX, LA 70301-4957
Phone number: 985-492-6170
Copy
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