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1144078254
BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC
COVINGTON, LA
NPI
1144078254
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Entity Type
Organization
Authorized Contact
DWAYNE MARA
Managing Member
504-833-7339
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-05-13
Last Update Date
2024-05-13
Business Address
BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC
611 RIVER HIGHLANDS BLVD STE A
COVINGTON, LA 70433-8908
Phone number: 985-302-3818
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Mailing Address
BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC
611 RIVER HIGHLANDS BLVD STE A
COVINGTON, LA 70433-8908
Phone number: 985-302-3818
Copy
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