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1073386520
ALEXANDRIA PEDIATRIC GASTRO, INC
ALEXANDRIA, LA
NPI
1073386520
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Entity Type
Organization
Authorized Contact
HUSAM SUKEREK
Owner
318-256-5722
Organization Subpart ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
ALEXANDRIA PEDIATRIC GASTRO, INC
3311 PRESCOTT RD STE 210
ALEXANDRIA, LA 71301-3983
Phone number: 318-256-5722
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Mailing Address
ALEXANDRIA PEDIATRIC GASTRO, INC
3311 PRESCOTT RD STE 210
ALEXANDRIA, LA 71301-3983
Phone number: 318-256-5722
Copy
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