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1124174545
SOUTHERN UNIVERSITY STUDENT HEALTH CENTER
BATON ROUGE, LA
NPI
1124174545
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Entity Type
Organization
Authorized Contact
TERRICKA V FIELDS
Office Manager
225-771-4770
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2007-01-26
Last Update Date
2008-08-12
Business Address
SOUTHERN UNIVERSITY STUDENT HEALTH CENTER
170 SWAN ST
BATON ROUGE, LA 70813-0001
Phone number: 225-771-3324
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Mailing Address
SOUTHERN UNIVERSITY STUDENT HEALTH CENTER
PO BOX 11794
BATON ROUGE, LA 70813-1794
Phone number: 225-771-3324
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