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1174094304
MAGNOLIA MEDICAL, LLC
LAFAYETTE, LA
NPI
1174094304
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Entity Type
Organization
Authorized Contact
MARISSA BEESLEY
Billing Manager
601-442-6493
Organization Subpart ?
No
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
MAGNOLIA MEDICAL, LLC
626 VEROT SCHOOL RD STE C
LAFAYETTE, LA 70508-5094
Phone number: 337-210-2060
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Mailing Address
MAGNOLIA MEDICAL, LLC
5412 DIJON DR
BATON ROUGE, LA 70808-4315
Phone number: 225-615-8693
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