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1093028060
GULF SOUTH PRIMARY CARE
BATON ROUGE, LA
NPI
1093028060
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Entity Type
Organization
Authorized Contact
STEPHEN GUILBAULT
Owner
225-892-2872
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: LA 025275)
Enumeration Date
2010-07-20
Last Update Date
2010-07-20
Business Address
GULF SOUTH PRIMARY CARE
5145 BLUEBONNET BLVD
BATON ROUGE, LA 70809-3076
Phone number: 225-368-2480
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Mailing Address
GULF SOUTH PRIMARY CARE
5145 BLUEBONNET BLVD
BATON ROUGE, LA 70809-3076
Phone number: 225-368-2480
Copy
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