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1174679625
VINELCO PHYSICIANS ASSOCIATES LLC
BOSSIER CITY, LA
NPI
1174679625
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Entity Type
Organization
Authorized Contact
GAVIN CHICO
Managing Partner
318-798-2399
Organization Subpart ?
No
Primary Taxonomy
282E00000X
(Licence: LA 11956R)
Enumeration Date
2007-01-26
Last Update Date
2015-09-08
Business Address
VINELCO PHYSICIANS ASSOCIATES LLC
4900 MEDICAL DR
BOSSIER CITY, LA 71112-4521
Phone number: 318-932-2081
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Mailing Address
VINELCO PHYSICIANS ASSOCIATES LLC
PO BOX 53032
SHREVEPORT, LA 71135-3032
Phone number: 318-932-2081
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