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1215369665
MINUTE MED-JOHNSTON LLC
LAFAYETTE, LA
NPI
1215369665
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Entity Type
Organization
Authorized Contact
BRAD ALAN BOUDREAUX
Owner
337-456-3519
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
MINUTE MED-JOHNSTON LLC
2912 JOHNSTON STREET
LAFAYETTE, LA 70503
Phone number: 337-456-3519
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Mailing Address
MINUTE MED-JOHNSTON LLC
2912 JOHNSTON STREET
LAFAYETTE, LA 70503
Phone number: 337-456-3519
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