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1174232532
SOUTHERN UROLOGY LLC
LAFAYETTE, LA
NPI
1174232532
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Entity Type
Organization
Authorized Contact
MARK ROBERT ELDREDGE
AO
337-769-7779
Organization Subpart ?
Yes
Primary Taxonomy
208800000X Urology
Enumeration Date
2022-11-15
Last Update Date
2023-03-13
Business Address
SOUTHERN UROLOGY LLC
120 RUE LOUIS XIV BUILDING 1
LAFAYETTE, LA 70508-5739
Phone number: 337-769-7779
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Mailing Address
SOUTHERN UROLOGY LLC
120 RUE LOUIS XIV
LAFAYETTE, LA 70508-5739
Phone number: 337-769-7779
Copy
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