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1083094007
LOUISIANA FAMILY MEDICINE CLINIC, INC.
JONESBORO, LA
NPI
1083094007
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Entity Type
Organization
Authorized Contact
DIRK RAINWATER
Owner
318-259-1569
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
LOUISIANA FAMILY MEDICINE CLINIC, INC.
103 WATTS ST
JONESBORO, LA 71251-2053
Phone number: 318-259-1569
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Mailing Address
LOUISIANA FAMILY MEDICINE CLINIC, INC.
103 WATTS ST
JONESBORO, LA 71251-2053
Phone number: 318-259-1569
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