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1174076061
INNOVATIVE START LLC
GRETNA, LA
NPI
1174076061
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Entity Type
Organization
Authorized Contact
DORIS GREEN
Owner
504-729-0408
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
INNOVATIVE START LLC
1101 FRANKLIN AVE
GRETNA, LA 70053-2312
Phone number: 504-729-0408
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Mailing Address
INNOVATIVE START LLC
1101 FRANKLIN AVE
GRETNA, LA 70053-2312
Phone number: 504-729-0408
Copy
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