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1093302291
GLORYHOUSE ILP
BATON ROUGE, LA
NPI
1093302291
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Entity Type
Organization
Authorized Contact
CYNTHIA JACKSON
Owner
225-614-8960
Organization Subpart ?
No
Primary Taxonomy
261QC1500X Clinic/Center, Community Health
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
GLORYHOUSE ILP
3173 WASHINGTON AVE
BATON ROUGE, LA 70802-2178
Phone number: 225-778-7678
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Mailing Address
GLORYHOUSE ILP
3173 WASHINGTON AVE
BATON ROUGE, LA 70802-2178
Phone number: 225-778-7678
Copy
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